Individual
DR. VISHAL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
478 ELM ST, SULLIGENT, AL 35586
(205) 698-7111
Mailing address
104 STRATFORD LN, WINFIELD, AL 35594-7700
(918) 853-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26468
OK
207Q00000X
Family Medicine Physician
Primary
31490
AL
Other
Enumeration date
02/09/2009
Last updated
02/22/2012
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