Individual
RAVI M MODH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1212 BALTIMORE PIKE STE 200, CHADDS FORD, PA 19317-7377
(610) 874-6448
Mailing address
15 HOPKINSON LN, SOMERSET, NJ 08873-7460
(732) 491-7310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ14869500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN699926
PA
Other
Enumeration date
05/22/2023
Last updated
04/23/2026
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