Yasoda Modali M.D

NPI 1063565570 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063565570
Gender Female
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
374 E.GRAND AVE
SIUC STUDENT HEALTH CENTER
CARBONDALE IL, 62901, US
Phone (618) 453-4346
Fax (618) 453-2347
Business Location
374 E.GRAND AVE
CARBONDALE IL, 62901, US
Phone (618) 453-4346
Fax (618) 453-2347
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Dr. Yasoda Modali M.D NPI is 1063565570, taxonomy code is 2084P0800X Yasoda Modali M.D physically located at 374 E.grand Ave, Carbondale IL, 62901. NPI Number Yasoda Modali M.D has the Individual type.

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1063565570 NPI number is provided on an as is basis without warranty of any kind. 1063565570 is maintained by the National Plan & Provider Enumeration System. The contents of Yasoda Modali M.D are for informational purposes only.