Modi, Anil R
Modi, Anil R is an individual health care provider with primary practice located at 300 Medical Dr Suite 701, Lagrange GA 30240-4130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Modi, Anil R can be contacted via phone (706) 882-8971.Contact Information
Primary practice address
300 Medical Dr Suite 701
Lagrange GA 30240-4130
Phone: (706) 882-8971
Fax: (706) 882-8991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 048066 | Georgia |
Profile Details
| NPI number | 1508868704 |
|---|---|
| LBN Legal business name | Modi, Anil R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | May 28th, 2024 - about last year |
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 | 1508868704 | NPPES |
| Georgia | MEDICAID | 00843873G |
Popular Providers
-
Duraski, Rod M
1514 Vernon Rd , Lagrange GA 30240-4131 -
Griffin, Gary S
1600 Vernon Rd Suite G, Lagrange GA 30240-4143 -
Ingram, Richard L
1602 Vernon Rd Ste 400, Lagrange GA 30240-4100 -
Hallerbach, Marco
1514 Vernon Rd , Lagrange GA 30240-4131 -
Erchak, David Neal
303 Smith St Clark-Holder Clinic, P.A., Lagrange GA 30240-2745 -
Smalls, Arnold
1602 Vernon Rd Ste 400, Lagrange GA 30240-4100 -
Olobatoke, Ariyo Oluwole
1551 Doctors Dr , Lagrange GA 30240-4139 -
Henderson, Warren J
1602 Vernon Rd Suite 400, Lagrange GA 30240