Individual
DR. RISHI ASHOK MODH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5747 38TH AVE N, ST PETERSBURG, FL 33710-1925
(727) 381-8667
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME127972
FL
Other
Enumeration date
05/11/2011
Last updated
02/09/2021
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