Mody, Sushil S.

Mody, Sushil S. is an individual health care provider with primary practice located at 175 E Brown St Suite 108, E Stroudsburg PA 18301-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mody, Sushil S. can be contacted via phone (570) 476-3585.

Contact Information

Primary practice address
175 E Brown St Suite 108 E Stroudsburg PA 18301-3098
Phone: (570) 476-3585
Fax: (570) 421-9014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD422414 Pennsylvania

Profile Details

NPI number 1164481891
LBN Legal business name Mody, Sushil S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 29th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164481891 NPPES
Pennsylvania MEDICAID 1009422450002

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