Modi, Kanan

Modi, Kanan is an sole proprietor health care provider with primary practice located at 1305 W Arrow Hwy Ste 104 , San Dimas CA 91773-2337. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Modi, Kanan can be contacted via phone (909) 967-7826.

Contact Information

Primary practice address
1305 W Arrow Hwy Ste 104 San Dimas CA 91773-2337
Phone: (909) 967-7826
Fax: (909) 394-9461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A38793 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A38793 California

Profile Details

NPI number 1881704898
LBN Legal business name Modi, Kanan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Feb 1st, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881704898 NPPES
California MEDICAID 00A387930
California Other A38793

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