Individual
DR. RONAK S MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 OSTRUM ST, SUITE 201, FOUNTAIN HILL, PA 18015-1155
(484) 526-6545
(484) 526-6546
Mailing address
701 OSTRUM ST, SUITE 201, FOUNTAIN HILL, PA 18015-1155
(484) 526-6545
(484) 526-6546
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD454591
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103016310
—
PA
Enumeration date
10/29/2009
Last updated
11/17/2016
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