Modi, Haresh B

Modi, Haresh B is an individual health care provider with primary practice located at 2720 Plaza Dr Suite 2200, Wausau WI 54401-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Modi, Haresh B can be contacted via phone (715) 847-2311.

Contact Information

Primary practice address
2720 Plaza Dr Suite 2200 Wausau WI 54401-4158
Phone: (715) 847-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 48743 Wisconsin

Profile Details

NPI number 1780699660
LBN Legal business name Modi, Haresh B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1780699660 NPPES
Wisconsin MEDICAID 34811800

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