Modi, Ketang

Modi, Ketang is an individual health care provider with primary practice located at 9620 Stirling Rd Unit 111 , Hollywood FL 33024-8081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Modi, Ketang can be contacted via phone (754) 201-1027.

Contact Information

Primary practice address
9620 Stirling Rd Unit 111 Hollywood FL 33024-8081
Phone: (754) 201-1027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MB07370200 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS11848 Florida

Profile Details

NPI number 1396736468
LBN Legal business name Modi, Ketang
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396736468 NPPES
New Jersey MEDICAID 8900507

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