Kanan Modi MD INC
NPI #1700210762 in San Dimas, California
Provider Information
- NPI Number
- 1700210762
- Entity Type
- Organization
- Organization Name
- Kanan Modi MD INC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 27, 2013
- Last Updated
- Aug 27, 2013
Practice Location
- Address
- 1305 W ARROW HWY STE 104
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-2337
- Phone
- (909) 394-9004
Authorized Official
- Name
- KANAN MODI, MD
- Title
- OWNER
- Phone
- (909) 394-9004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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