Individual
VIPUL MODI
Active
Individual
VIPUL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57010359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050911
—
OH
01
—
35096835
OH MEDICAL LICENSE
OH
Enumeration date
05/25/2007
Last updated
02/26/2013
Update your record
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