Provider Demographics
NPI:1295830164
Name:VASCULAR AND INTERVENTIONAL PHYSICIANS PC
Entity Type:Organization
Organization Name:VASCULAR AND INTERVENTIONAL PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SADEGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-246-2584
Mailing Address - Street 1:10835 N 25TH AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3458
Mailing Address - Country:US
Mailing Address - Phone:602-246-2584
Mailing Address - Fax:602-246-2566
Practice Address - Street 1:19636 N 27TH AVE STE 301
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4016
Practice Address - Country:US
Practice Address - Phone:623-445-6400
Practice Address - Fax:623-445-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ134162085R0202X, 2085R0204X
AZ2085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty