Anil R Modi, MD

NPI #1508868704 in Lagrange, Georgia

Provider Information

NPI Number: 1508868704
Entity Type: Individual
Name: Anil R Modi, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 1, 2005
Last Updated: May 28, 2024

Practice Location

Address: 300 MEDICAL DR
Address 2: SUITE 701
City: Lagrange
State: Georgia
ZIP Code: 30240-4130
Phone: (706) 882-8971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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