DR. Shashank Modi

NPI #1699378836 in Geneva, Illinois

Provider Information

NPI Number: 1699378836
Entity Type: Individual
Name: DR. Shashank Modi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 765 E STATE ST
City: Geneva
State: Illinois
ZIP Code: 60134-2366
Phone: (630) 232-2095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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