Kiran R. Modi, M.d., P.a.
NPI #1154622447 in Titusville, Florida
Provider Information
- NPI Number
- 1154622447
- Entity Type
- Organization
- Organization Name
- Kiran R. Modi, M.d., P.a.
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Nov 3, 2010
- Last Updated
- Nov 3, 2010
Practice Location
- Address
- 500 N WASHINGTON AVE
- Address 2
- SUITE # 106
- City
- Titusville
- State
- Florida
- ZIP Code
- 32796-2759
- Phone
- (321) 264-9100
Authorized Official
- Name
- KIRAN R MODI, M.D.
- Title
- PRESIDENT
- Phone
- (321) 264-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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