# DR. PATRICIA ISABEL MODAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104847466
- **Gender:** F
- **Credential:** M.D., F.A.C.O.G.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01053870A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME103310 | FL | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 12/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001042100 | — | FL |