Individual
YASHPAL BHANUPRASAD MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N L ROGERS WELLS BLVD, SUITE 306, GLASGOW, KY 42141-1300
(270) 659-5890
(270) 659-5698
Mailing address
310 N L ROGERS WELLS BLVD, SUITE 306, GLASGOW, KY 42141-1300
(270) 659-5890
(270) 659-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47271
KY
207RH0003X
Hematology & Oncology Physician
Primary
47271
KY
207RX0202X
Medical Oncology Physician
47271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100311690
—
KY
Enumeration date
05/27/2012
Last updated
10/01/2024
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