Individual
YASHA S MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVENUE, CLEVELAND, OH 44195
(914) 474-3020
Mailing address
701 W LAKESIDE AVENUE, APARTMENT 609, CLEVELAND, OH 44113
(914) 474-3020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
123507
OH
Other
Enumeration date
10/01/2010
Last updated
03/03/2021
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