Individual
SHREY MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 UTICA RIDGE RD # SURGERY, BETTENDORF, IA 52722-1626
(563) 742-5300
Mailing address
4480 UTICA RIDGE RD STE 1124, BETTENDORF, IA 52722-1644
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
036.165921
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
MD-51537
IA
Other
Enumeration date
03/28/2017
Last updated
08/14/2023
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