Isha Trupen Modi, PA

NPI #1356561179 in West Grove, Pennsylvania

Provider Information

NPI Number: 1356561179
Entity Type: Individual
Name: Isha Trupen Modi, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1015 W BALTIMORE PIKE
Address 2: JENNERSVILLE REGIONAL HOSPITAL
City: West Grove
State: Pennsylvania
ZIP Code: 19390-9459
Phone: (610) 869-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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