Modir, Jamal

Modir, Jamal is an individual health care provider with primary practice located at 2505 Samaritan Dr 301, San Jose CA 95124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Modir, Jamal can be contacted via phone (408) 358-1933.

Contact Information

Primary practice address
2505 Samaritan Dr 301 San Jose CA 95124
Phone: (408) 358-1933
Fax: (408) 358-4212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X California

Profile Details

NPI number 1336223270
LBN Legal business name Modir, Jamal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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