Vascular Interventional & Pain Clinic-Vip Clinic-Vip Imaging Cen

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN

Practice address

3906 S Dupont SQ Ste a
Louisville, KY 40207

Phone

(502) 533-3919

Fax

(440) 332-3844

NPI assigned

Apr 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmoud Samman, MD

Title

Director/Owner

Phone

(502) 533-3919

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hisham A Alrefai, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
  • NPI 1811962350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1215433974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400591328",
            "telephone_number": "859-393-3124",
            "fax_number": "440-332-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S DUPONT SQ STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-533-3919",
            "fax_number": "440-332-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471505966",
            "country_code": "US",
            "telephone_number": "502-358-5215",
            "fax_number": "502-384-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "SAMMAN",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "502-533-3919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie L Varisco
• Maureen Ryan Varjian
• Amber Varney
• Angei Pilar Varona
• Nina Vasavada Panchal, MD
• Vascular Laboratory Consultants LLC
• Danielle Lucille Vasse, APRN
• Idhaya Sakthi Vasu
• Vatsalya Vatsalya
• Anne T Vaughan, APRN

• Vascular & Interventional Radiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Vascular & Interventional Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.