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Organization
PRITI MODI, M.D. INC.
Active
Organization
PRITI MODI, M.D. INC.
Active
Other names
Pinnacle Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRITI T. MODI M.D. (PRESIDENT)
(209) 409-8589
Entity
Organization
Contact information
Practice address
1608 TULLY RD, MODESTO, CA 95350-4031
(209) 409-8589
(209) 409-8691
Mailing address
1608 TULLY RD, MODESTO, CA 95350-4031
(209) 409-8589
(209) 409-8691
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
—
F96685
MEDICARE PTAN
CA
Enumeration date
05/14/2013
Last updated
03/11/2014
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