Mody, Milan G
Mody, Milan G is an individual health care provider with primary practice located at 7925 Youree Dr Suite 200, Shreveport LA 71105-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Mody, Milan G can be contacted via phone (318) 212-3610.Contact Information
Primary practice address
7925 Youree Dr Suite 200
Shreveport LA 71105-5127
Phone: (318) 212-3610
Fax: (318) 212-3709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 201245 | Louisiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | M1943 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 201245 | Louisiana |
Profile Details
| NPI number | 1669414942 |
|---|---|
| LBN Legal business name | Mody, Milan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 18th, 2008 - about 17 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 | 1669414942 | NPPES |
| Louisiana | MEDICAID | 1457167 |
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