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Organization
PRAVEEN MODI, M.D., P.C.
Active
Organization
PRAVEEN MODI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BILLAND (OFFICE MANAGER)
(734) 414-1023
Entity
Organization
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 102, PLYMOUTH, MI 48170-6204
(734) 414-1088
(734) 414-1095
Mailing address
990 W ANN ARBOR TRL, PLYMOUTH, MI 48170-6204
(734) 414-1088
(734) 414-1095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PM069773
MI
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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