Modarress, John

Modarress, John is an sole proprietor health care provider with primary practice located at 3960 White Hawk Ln , Winston Salem NC 27106-2666. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Modarress, John can be contacted via phone (336) 922-3440.

Contact Information

Primary practice address
3960 White Hawk Ln Winston Salem NC 27106-2666
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35027 North Carolina

Profile Details

NPI number 1427305564
LBN Legal business name Modarress, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Aug 8th, 2012 - about 14 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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