Modak, Rajiv
Modak, Rajiv is an individual health care provider with primary practice located at 1500 W Commerce Ct , Tucson AZ 85746-6015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Modak, Rajiv can be contacted via phone (520) 670-3909.Contact Information
Primary practice address
1500 W Commerce Ct
Tucson AZ 85746-6015
Phone: (520) 670-3909
Fax: (520) 806-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28426 | Arizona |
Profile Details
| NPI number | 1124002324 |
|---|---|
| LBN Legal business name | Modak, Rajiv |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 19th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124002324 | NPPES |
| Arizona | MEDICAID | 527690 |
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