Modi, Jayesh Ramanlal

Modi, Jayesh Ramanlal is an individual health care provider with primary practice located at 1 Webster Ave Suite 306, Poughkeepsie NY 12601-1361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Modi, Jayesh Ramanlal can be contacted via phone (845) 483-5934.

Contact Information

Primary practice address
1 Webster Ave Suite 306 Poughkeepsie NY 12601-1361
Phone: (845) 483-5934
Fax: (845) 483-5738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 141727 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 141727 New York

Profile Details

NPI number 1245211689
LBN Legal business name Modi, Jayesh Ramanlal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jul 21st, 2021 - about 3 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 1245211689 NPPES
New York MEDICAID 00782614

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