Danesh S Modi D.O.

NPI 1629237417 - Internal Medicine - 207R00000X

NPI Details
NPI 1629237417
Gender Male
Enumeration Date 06/05/2008
Last Updated 06/05/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-3397
Fax
Business Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number OT012695
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According to our database, Dr. Danesh S Modi D.O. NPI is 1629237417, taxonomy code is 207R00000X and license number is OT012695, license state is located at Pennsylvania. Danesh S Modi D.O. physically located at 3401 N Broad St, Philadelphia PA, 19140-5103. NPI Number Danesh S Modi D.O. has the Individual type.

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1629237417 NPI number is provided on an as is basis without warranty of any kind. 1629237417 is maintained by the National Plan & Provider Enumeration System. The contents of Danesh S Modi D.O. are for informational purposes only.