Individual
URVIJ MAHENDRAKUMAR MODHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF NEW MEXICO, DEPT. OF ORTHOPEDICS, 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-0001
(505) 272-4107
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD 2014-0017
NM
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD 2014-0017
NM
Other
Enumeration date
11/28/2011
Last updated
09/26/2024
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