Individual
DR. PAUL STEVEN MODLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Mailing address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101236049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010083753
—
VA
05
—
010083770
—
VA
05
—
010085683
—
VA
05
—
010085691
—
VA
05
—
010085721
—
VA
05
—
010085811
—
VA
05
—
010085829
—
VA
05
—
010085837
—
VA
05
—
010085845
—
VA
05
—
010085870
—
VA
05
—
010085918
—
VA
05
—
010085934
—
VA
05
—
010124743
—
VA
05
—
010184983
—
VA
01
—
2128905
MAMSI
—
01
—
47430007
CAREFIRST
—
01
—
9202002
CIGNA
—
Enumeration date
10/03/2006
Last updated
02/26/2013
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