Modi, Rajendra Kumar

Modi, Rajendra Kumar is an sole proprietor health care provider with primary practice located at 55-44 Metropolitan Avenue , Ridgewood NY 11385. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Modi, Rajendra Kumar can be contacted via phone (718) 456-2020.

Contact Information

Primary practice address
55-44 Metropolitan Avenue Ridgewood NY 11385
Phone: (718) 456-2020
Fax: (718) 821-5342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 154743 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 154743 New York

Profile Details

NPI number 1902895733
LBN Legal business name Modi, Rajendra Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Jan 3rd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902895733 NPPES
New York MEDICAID 0773280
New York Other DS376
New York Other 74937
New York Other DS376
New York MEDICAID 00773280

Popular Providers