Individual
DR. ANIL KANTILAL MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13100 STUDEBAKER RD, NORWALK, CA 90650-2531
(562) 868-3751
Mailing address
526 W WOODRUFF AVE, ARCADIA, CA 91007-8344
(626) 446-7801
(626) 446-5971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A36534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A365344
—
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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