MITUL MODI, MD
Dermatology
Active
Individual
NPI: 1649794876
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pathology - Dermatopathology | 207ZD0900X | No | 125079219 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dermatology | 207N00000X | Yes | 036164764 (IL) |
Frequently Asked Questions
NPI 1649794876 is the National Provider Identifier for MITUL MODI, MD, a Dermatology provider located in Maywood, IL. This NPI was enumerated on July 31, 2017.
MITUL MODI, MD practices at 2160 S 1ST AVE, Maywood, IL 60153.
Quick Facts
- NPI
- 1649794876
- Type
- Individual
- Enumerated
- Jul 31, 2017
- Last Updated
- Jan 16, 2025
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