Individual
DR. BHAVESH SURENDRA MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4647 ZION AVE, DEPARTMENT OF EMERGENCY MEDICINE, SAN DIEGO, CA 92120-2507
(619) 528-5113
Mailing address
4647 ZION AVE, DEPARTMENT OF EMERGENCY MEDICINE, SAN DIEGO, CA 92120-2507
(619) 528-5113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13877
CA
Other
Enumeration date
06/27/2013
Last updated
12/01/2021
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