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Individual
LADAN MODALLEL
Active
Individual
LADAN MODALLEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
117285
CA
208000000X
Pediatrics Physician
44915
KY
208000000X
Pediatrics Physician
MD60914735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122359
—
WA
Enumeration date
06/24/2008
Last updated
08/18/2025
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