location
search-icon
person
Dr. Sanjiv S Modi, MD
Hematology & Oncology Physician in Michigan City, Indiana
NPI 1396730909

Sanjiv S Modi is a Hematology & Oncology Physician based in Detroit, IN and is specialized in Hematology & Oncology. Sanjiv S Modi practices in Michigan City, IN and has the professional credentials of MD. The NPI Number for Sanjiv S Modi is 1396730909 and holds a License No. 036093810 (Indiana).

The current practice location address for Sanjiv S Modi is 8955 W 400 N, Michigan City, IN and can be reached out via phone at 219-861-5800 and via fax at 219-861-5543.

Location: 8955 W 400 N, Michigan City, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396730909
Provider Name
Sanjiv S Modi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8955 W 400 N, Michigan City, IN, 48278-1076
Phone Number
219-861-5800
Fax Number
219-861-5543
Provider Enumeration Date
09/20/2005
Last Update Date
08/17/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
036093810 05 IL
830007251 01 IL MEDICARE RR
L77781 01 IL MEDICARE INDIV ID# FOR GROUP 336140
L98056 01 IL MEDICARE INDIV ID# FOR GROUP 205474
institution
Provider Business Practice Location Address Details
Address
8955 W 400 N
City
Michigan City
State
Indiana
Zip
46360-9330
Phone Number
219-861-5800
Fax Number
219-861-5543
person
Provider Business Mailing Address Details
Address
8955 W 400 N
City
Michigan City
State
Indiana
Zip
46360-9330
Phone Number
219-861-5800
Fax Number
219-861-5543
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036093810 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.