Modi, Ronak S

Modi, Ronak S is an individual health care provider with primary practice located at 701 Ostrum St Suite 201, Fountain Hill PA 18015-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Modi, Ronak S can be contacted via phone (484) 526-6545.

Contact Information

Primary practice address
701 Ostrum St Suite 201 Fountain Hill PA 18015-1155
Fax: (484) 526-6546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD454591 Pennsylvania

Profile Details

NPI number 1417283219
LBN Legal business name Modi, Ronak S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2009
Last updated Nov 17th, 2016 - about 8 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 1417283219 NPPES
Pennsylvania MEDICAID 103016310

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