Keyur Modi is a General Practice Physician based in Edison, NJ. Keyur Modi practices in Edison, NJ. The NPI Number for Keyur Modi is 1255869616 and holds a License No. (New Jersey).
The current practice location address for Keyur Modi is 1036 Amboy Ave, Edison, NJ and can be reached out via phone at 732-225-2300.
Location: 1036 Amboy Ave, Edison, NJ, 08837-2870
Provider Profile Details
NPI Number
1255869616
Provider Name
Keyur Modi
Credential
Provider Entity Type
Individual
Gender
Male
Address
1036 Amboy Ave, Edison, NJ, 08837-2870
Phone Number
732-225-2300
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1036 Amboy Ave
City
State
Zip
08837-2870
Phone Number
732-225-2300
Fax Number
Provider Business Mailing Address Details
Address
1036 Amboy Ave
City
State
Zip
08837-2870
Phone Number
732-225-2300
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
22DI02686700 (New Jersey)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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