Individual
HIREN MODY
Active
Individual
HIREN MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010041508CT01
ANTHEM
CT
01
—
041508
CCI
CT
01
—
2V4055
HEALTH NET
CT
01
—
3308340
AETNA - HMO
CT
01
—
7043515
AETNA - PPO
CT
01
—
90S67
EMPIRE BC/BS
CT
01
—
9721521
CIGNA
CT
01
—
P00111131
RR MEDICARE
CT
01
—
P3151623
OXFORD
CT
01
—
TIN
UNITED
—
Enumeration date
09/27/2006
Last updated
10/10/2007
Update your record
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