Modali, Yasoda
Modali, Yasoda is an individual health care provider with primary practice located at 374 E.Grand Ave Siuc Student Health Center, Carbondale IL 62901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Modali, Yasoda can be contacted via phone (618) 453-4346.Contact Information
Primary practice address
374 E.Grand Ave Siuc Student Health Center
Carbondale IL 62901
Phone: (618) 453-4346
Fax: (618) 453-2347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Illinois |
Profile Details
| NPI number | 1063565570 |
|---|---|
| LBN Legal business name | Modali, Yasoda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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