Individual
BIJAL SHAH MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
381 PARK AVE S, SUITE 1020, NEW YORK, NY 10016-8806
(212) 260-6078
(212) 260-6185
Mailing address
381 PARK AVE S, SUITE 1020, NEW YORK, NY 10016-8806
(212) 260-6078
(212) 260-6185
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
036 071644
IL
Other
Enumeration date
07/26/2007
Last updated
04/07/2009
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