Modali, Sadasivam

Modali, Sadasivam is an sole proprietor health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Modali, Sadasivam can be contacted via phone (618) 998-5609.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 998-5609
Fax: (618) 998-5659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Illinois

Profile Details

NPI number 1982621645
LBN Legal business name Modali, Sadasivam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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