Modi, Priti Tushar
Modi, Priti Tushar is an sole proprietor health care provider with primary practice located at 1608 Tully Rd , Modesto CA 95350-4031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Modi, Priti Tushar can be contacted via phone (209) 409-8589.Contact Information
Primary practice address
1608 Tully Rd
Modesto CA 95350-4031
Phone: (209) 409-8589
Fax: (209) 409-8691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A52036 | California |
Profile Details
| NPI number | 1568440246 |
|---|---|
| LBN Legal business name | Modi, Priti Tushar |
| Credentials | M.D., F.A.C.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 9th, 2016 - about 10 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 | 1568440246 | NPPES |
| California | MEDICAID | 1568440246-01 | |
| California | Other | BA816 |
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