Modi, Kaushik Chhaganlal

Modi, Kaushik Chhaganlal is an individual health care provider with primary practice located at 449 Mount Pleasant Ave 2Nd Floor, West Orange NJ 07052-2723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Modi, Kaushik Chhaganlal can be contacted via phone (973) 731-7868.

Contact Information

Primary practice address
449 Mount Pleasant Ave 2Nd Floor West Orange NJ 07052-2723
Phone: (973) 731-7868
Fax: (973) 731-7907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA05857500 New Jersey

Profile Details

NPI number 1700886132
LBN Legal business name Modi, Kaushik Chhaganlal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 12th, 2013 - about 13 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 1700886132 NPPES
New Jersey MEDICAID 6957901

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