Individual
ANKITA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8169 ARDREY KELL RD, CHARLOTTE, NC 28277-5717
(704) 542-5540
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-01760
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
036113058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113058
—
IL
Enumeration date
01/11/2007
Last updated
10/25/2020
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