Endovascular

LBN: Endovascular
Endovascular is an health care organization with primary practice located at 2240 College Dr , Gallup NM 87301-7003. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Endovascular can be contacted via phone (505) 297-1052, or through Kim, Kiup Alexander via phone (480) 584-2369.

Contact Information

Primary practice address
2240 College Dr Gallup NM 87301-7003
Phone: (505) 297-1052
Fax: (505) 297-1227
Website:
Map and Directions
Authorized official contact:
Name: Kim, Kiup Alexander Doctor of Medicine (MD)
Phone: (480) 584-2369

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1972221182
LBN Legal business name Endovascular
DBA Doing business as Endovascular
Authorized official Kim, Kiup Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2022
Last updated Sep 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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