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Simple S Modi, MD
Student in an Organized Health Care Education/Training Program in Hampton, Virginia
NPI 1487182812

Simple S Modi is a Student in an Organized Health Care Education/Training Program based in Hampton, VA. Simple S Modi practices in Hampton, VA and has the professional credentials of MD. The NPI Number for Simple S Modi is 1487182812 and holds a License No. 0101276540 (Virginia).

The current practice location address for Simple S Modi is 4001 Coliseum Dr Ste 310A, Hampton, VA and can be reached out via phone at 757-736-2540.

Location: 4001 Coliseum Dr Ste 310A, Hampton, VA, 23666-6257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487182812
Provider Name
Simple S Modi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4001 Coliseum Dr Ste 310A, Hampton, VA, 23666-6257
Phone Number
757-736-2540
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4001 Coliseum Dr Ste 310A
City
Hampton
State
Virginia
Zip
23666-6257
Phone Number
757-736-2540
Fax Number
person
Provider Business Mailing Address Details
Address
4001 Coliseum Dr Ste 310A
City
Hampton
State
Virginia
Zip
23666-6257
Phone Number
757-736-2540
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
MT212870 (Pennsylvania)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101276540 (Virginia)
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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