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Organization

MODI MEDICAL CORPORATION

Active
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Organization

MODI MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIGNESH J MODI MD PA (PRESIDENT)
(304) 204-2430
Entity
Organization

Contact information

Practice address
4605 MACCORKLE AVE SW STE 302, SOUTH CHARLESTON, WV 25309-1311
(304) 204-2430
(304) 397-6740
Mailing address
40 FAIRLAND DRIVE, NITRO, WV 25143
(304) 204-2430
(304) 397-6740

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
19795
WV

Other

Enumeration date
08/30/2006
Last updated
10/20/2017
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