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Individual
DR. PRITI TUSHAR MODI
Active
Individual
DR. PRITI TUSHAR MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.P.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A52036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568440246-01
—
CA
01
—
BA816
MEDICARE PTAN
—
Enumeration date
01/04/2006
Last updated
02/09/2016
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