Praveen Modi, Md, Pc

LBN: Praveen Modi, Md, Pc
Praveen Modi, Md, Pc is an health care organization with primary practice located at 3200 Pine Lake Rd , West Bloomfield MI 48324-1951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Praveen Modi, Md, Pc can be contacted via phone (248) 830-6697, or through Modi, Praveen via phone (248) 830-6697.

Contact Information

Primary practice address
3200 Pine Lake Rd West Bloomfield MI 48324-1951
Phone: (248) 830-6697
Fax: (248) 676-0814
Website:
Map and Directions
Authorized official contact:
Name: Modi, Praveen Doctor of Medicine (MD)
Phone: (248) 830-6697

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1255528527
LBN Legal business name Praveen Modi, Md, Pc
DBA Doing business as
Authorized official Modi, Praveen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Jun 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255528527 NPPES
Michigan MEDICAID 4620532

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