Miteshkumar N. Modi, PA-C

Physician Assistant · Marion, IL

Individual Active NPI

NPI number 1891829222

Practice location

2401 W Main St
Marion, IL 62959-1188
Phone
(618) 997-5311

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NPI record

NPI
1891829222
Entity type
Individual (Type 1)
Enumeration date
March 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — IL

Mailing address

9835 Garden Ct
Schiller Park, IL 60176-2101
Phone
(847) 671-0521

About Miteshkumar Modi

Miteshkumar N. Modi, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2401 W Main St, Marion, IL 62959-1188. The NPI number 1891829222 was assigned on March 15, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Miteshkumar N. Modi, PA-C?

The NPI number is 1891829222.

What is the phone number of Miteshkumar Modi?

The phone number listed for the practice location is (618) 997-5311.

Where is Miteshkumar Modi located?

2401 W Main St, Marion, IL 62959-1188.

What is the taxonomy code for Miteshkumar Modi?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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