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Individual

SITAL MODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 W NORTH ST, #1226, RALEIGH, NC 27603-1560
(919) 602-0229
Mailing address
400 W NORTH ST, #1226, RALEIGH, NC 27603-1560
(919) 602-0229

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002R82
NM
207R00000X
Internal Medicine Physician
Primary
2007-00788
NC

Other

Enumeration date
02/06/2007
Last updated
03/18/2021
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