Organization
CELESTE BRAIN HEALTH PLLC
Active
Other names
Celeste Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
SUMUL MODI (OWNER/PARTNER)
(984) 777-9940
Entity
Organization
Contact information
Practice address
5500 EXECUTIVE CENTER DR STE 206, CHARLOTTE, NC 28212-8864
(984) 777-9940
(877) 794-5929
Mailing address
5500 EXECUTIVE CENTER DR STE 206, CHARLOTTE, NC 28212-8864
(984) 777-9940
(877) 794-5929
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
12/02/2023
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