Organization Active NPI

Interventional, Vascular & Diagnostic Associates, PA

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1003188376
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
K9433 Issued in TX
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 Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X K9433 TX Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.