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Mitul B. Modi, MD
Dermatopathology (Pathology) Physician in Maywood, Illinois
NPI 1649794876

Mitul B. Modi is a Dermatopathology (Pathology) Physician based in Maywood, IL and is specialized in Dermatopathology. Mitul B. Modi practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Mitul B. Modi is 1649794876 and holds a License No. (Illinois).

The current practice location address for Mitul B. Modi is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 248-839-7383.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649794876
Provider Name
Mitul B. Modi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
248-839-7383
Fax Number
Provider Enumeration Date
07/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
248-839-7383
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
248-839-7383
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Dermatopathology
Taxonomy
207ZD0900X
License No.
125079219 (Illinois)
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
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.
()
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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