Active NPI
Interventional, Vascular & Diagnostic Associates, PA
- Vascular & Interventional Radiology Physician
- Houston, TX
National Provider Identifier
1003188376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- K9433
- Legal business name
- INTERVENTIONAL, VASCULAR & DIAGNOSTIC ASSOCIATES, PA
- Practice address
- 16 Crestwood Dr
Houston, TX 77007-7007 - Phone
- (713) 795-4884
- NPI assigned
- Feb 2, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Rajiv Thakur, MD
- Title
- President
- Phone
- (713) 795-4884
National Provider Directory
National Provider DirectorySpecialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | K9433 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
16 Crestwood Dr
Houston, TX 77007-7007
Mailing address
PO Box 301103
Houston, TX 77230-1103
Phone (713) 795-4884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2012.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1003188376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772301103",
"telephone_number": "713-795-4884",
"fax_number": "713-383-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CRESTWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770077007",
"telephone_number": "713-795-4884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL, VASCULAR & DIAGNOSTIC ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "THAKUR",
"authorized_official_first_name": "RAJIV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-795-4884",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "K9433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.