Individual
RAJEN J MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BS
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301070516
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301070516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4238123
—
MI
Enumeration date
08/08/2006
Last updated
09/30/2019
Update your record
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