Kush Modi

NPI 1780998518 - Internal Medicine - 207R00000X

NPI Details
NPI 1780998518
Gender Male
Enumeration Date 08/04/2010
Last Updated 07/14/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1707 W CHARLESTON BLVD
#220
LAS VEGAS NV, 89102-2351, US
Phone (702) 671-5070
Fax (702) 671-5072
Business Location
1707 W CHARLESTON BLVD
#220
LAS VEGAS NV, 89102-2351, US
Phone (702) 671-5070
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT194509
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According to our database, Kush Modi NPI is 1780998518, taxonomy code is 207R00000X and license number is MT194509, license state is located at Pennsylvania. Kush Modi physically located at 1707 W Charleston Blvd, Las Vegas NV, 89102-2351. NPI Number Kush Modi has the Individual type.

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1780998518 NPI number is provided on an as is basis without warranty of any kind. 1780998518 is maintained by the National Plan & Provider Enumeration System. The contents of Kush Modi are for informational purposes only.