Individual
VIPUL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2213 CHERRY ST, ATTN: MRG ASSOCIATES, LLC - RADIOLOGY DEPT., TOLEDO, OH 43608-2603
(419) 251-4340
Mailing address
2213 CHERRY ST, ATTN: MRG ASSOCIATES, LLC - RADIOLOGY DEPT., TOLEDO, OH 43608-2603
(419) 251-4340
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
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