Organization
INNOVATIVE VASCULAR AND THERAPEUTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALWINDER SINGH SINGHA MD (PRESIDENT)
(401) 575-0308
Entity
Organization
Contact information
Practice address
1515 N HARLEM AVE STE 100, OAK PARK, IL 60302-1205
(401) 575-0308
(562) 548-7540
Mailing address
PO BOX 379, PASADENA, CA 91102-0379
(401) 575-0308
(562) 548-7540
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/21/2019
Last updated
05/08/2023
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