Individual
SHEELA D MODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 MEDICAL PARK DR, SUITE 4, SILVER SPRING, MD 20902-4054
(301) 681-4422
(301) 681-1684
Mailing address
PO BOX 418837, BOSTON, MA 02241-8837
(888) 846-5527
(607) 324-2369
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0045119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002153455 02
UNITED HEALTHCARE
MD
05
—
022600900
—
MD
05
—
034402500
—
DC
01
—
1179916
FIRST HEALTH/CCN
MD
01
—
11931
JOHNS HOPKINS HEALTHCARE
MD
01
—
270567
MAMSI
MD
01
—
29020004
CAREFIRST BC/BS
DC
01
—
3624169
AETNA HMO
MD
01
—
497790
NATIONAL CAPITOL PPO
MD
01
—
52127
AMERIGROUP
MD
01
—
60332702
CAREFIRST BC/BS
MD
01
—
7509331
AETNA PPO/POS
MD
01
—
8676971005
CIGNA
MD
Enumeration date
04/26/2006
Last updated
04/18/2012
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