Modi, Mahesh G
Modi, Mahesh G is an sole proprietor health care provider with primary practice located at 2160 W Grant Line Rd Suite 240, Tracy CA 95377-7330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Modi, Mahesh G can be contacted via phone (209) 833-6118.Contact Information
Primary practice address
2160 W Grant Line Rd Suite 240
Tracy CA 95377-7330
Phone: (209) 833-6118
Fax: (209) 835-7999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A37333 | California |
Profile Details
| NPI number | 1376514489 |
|---|---|
| LBN Legal business name | Modi, Mahesh G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376514489 | NPPES |
| California | MEDICAID | 00A373330 |
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