| Tushar R. Modi, M.d. Inc. | |
|
413 E Orangeburg Ave Ste A Modesto CA 95350-5369 | |
| (209) 529-9600 | |
| (209) 544-2620 |
| Full Name | Tushar R. Modi, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 413 E Orangeburg Ave Ste A, Modesto, California |
| Authorized Official Name and Position | Tushar R Modi (CEO) |
| Authorized Official Contact | 2095299600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tushar R. Modi, M.d. Inc. 413 E Orangeburg Ave Ste A Modesto CA 95350-5369 Ph: (209) 529-9600 | Tushar R. Modi, M.d. Inc. 413 E Orangeburg Ave Ste A Modesto CA 95350-5369 Ph: (209) 529-9600 |
| NPI Number | 1003230343 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 9830314806 |
|---|---|
| Medicare Enrollment ID | O20140707001454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003230343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tushar R Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679551352 PECOS PAC ID: 3971647488 Enrollment ID: I20100222000827 |
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