Active NPI
Ally Vascular and Pain Centers, PLLC
- Vascular & Interventional Radiology Physician
- San Antonio, TX
National Provider Identifier
1245005453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- ALLY VASCULAR AND PAIN CENTERS, PLLC
- Practice address
- 603 E Amber St Ste 101
San Antonio, TX 78221-2456 - Phone
- (210) 660-5040
- Fax
- (210) 660-5045
- NPI assigned
- Nov 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandeep Rao, MD
- Title
- Owner
- Phone
- (614) 302-3561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
603 E Amber St Ste 101
San Antonio, TX 78221-2456
Mailing address
2222 W Pinnacle Peak Rd Ste 260
Phoenix, AZ 85027-1224
Phone (480) 626-1746
Other practice location 1
603 E Amber St Ste 103
San Antonio, TX 78221-2456
Phone (210) 660-5040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1245005453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W PINNACLE PEAK RD STE 260",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271224",
"telephone_number": "480-626-1746",
"fax_number": "480-626-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E AMBER ST STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782212456",
"telephone_number": "210-660-5040",
"fax_number": "210-660-5045"
}
],
"practiceLocations": [
{
"address_1": "603 E Amber St Ste 103",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782212456",
"country_code": "US",
"telephone_number": "210-660-5040",
"fax_number": "210-660-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALLY VASCULAR AND PAIN CENTERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "SANDEEP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-302-3561",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.