Anil R Modi MD

NPI 1508868704 - Internal Medicine - 207R00000X

NPI Details
NPI 1508868704
Gender Male
Enumeration Date 06/01/2005
Last Updated 03/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
300 MEDICAL DR
SUITE 701
LAGRANGE GA, 30240-4130, US
Phone (706) 882-8971
Fax (706) 882-8991
Business Location
300 MEDICAL DR
SUITE 701
LAGRANGE GA, 30240-4130, US
Phone (706) 882-8971
Fax (706) 882-8971
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 048066
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According to our database, Anil R Modi MD NPI is 1508868704, taxonomy code is 207R00000X and license number is 048066, license state is located at Georgia. Anil R Modi MD physically located at 300 Medical Dr, Lagrange GA, 30240-4130. NPI Number Anil R Modi MD has the Individual type.

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1508868704 NPI number is provided on an as is basis without warranty of any kind. 1508868704 is maintained by the National Plan & Provider Enumeration System. The contents of Anil R Modi MD are for informational purposes only.