Individual
DR. VATSAL HAREN MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10832 LAUREL ST STE 101, RANCHO CUCAMONGA, CA 91730
(909) 477-3015
Mailing address
10832 LAUREL ST STE 101, RANCHO CUCAMONGA, CA 91730
(909) 477-3015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A56472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564720
—
CA
Enumeration date
10/31/2006
Last updated
07/25/2012
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