| Arvind Modawal Md Inc | |
|
7235 Heritagespring Dr West Chester OH 45069-6526 | |
| (513) 759-6846 | |
| Not Available |
| Full Name | Arvind Modawal Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7235 Heritagespring Dr, West Chester, Ohio |
| Authorized Official Name and Position | Arvind Modawal (PRESIDENT) |
| Authorized Official Contact | 5132352361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arvind Modawal Md Inc 399 W Galbraith Rd Apt 209 Cincinnati OH 45215-5035 Ph: () - | Arvind Modawal Md Inc 7235 Heritagespring Dr West Chester OH 45069-6526 Ph: (513) 759-6846 |
| NPI Number | 1538570163 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 05/16/2014 |
| Medicare PECOS PAC ID | 8921222688 |
|---|---|
| Medicare Enrollment ID | O20140619000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538570163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 35.070118 (Ohio) | Primary |
| Provider Name | Arvind Modawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764314 PECOS PAC ID: 3274589668 Enrollment ID: I20050329000857 |
| Provider Name | Patricia M Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275707739 PECOS PAC ID: 5890867683 Enrollment ID: I20080711000050 |
| Provider Name | Stephanie C Siegrist-boling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306079785 PECOS PAC ID: 5991851388 Enrollment ID: I20090928000232 |
| Provider Name | Keiko Honda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396163705 PECOS PAC ID: 1254554124 Enrollment ID: I20140521001774 |
| Provider Name | Sondra Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225466469 PECOS PAC ID: 3375834104 Enrollment ID: I20160624001065 |
| Provider Name | Karla J Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235472101 PECOS PAC ID: 5991085839 Enrollment ID: I20161209001515 |
| Provider Name | Thenjiwe Ndebele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992998215 PECOS PAC ID: 5395153696 Enrollment ID: I20210427001577 |
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