Individual
KHUSHBOO KIRITBHAI MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
120 MAIN ST, DANBURY, CT 06810-7834
(203) 743-9760
Mailing address
120 MAIN ST, DANBURY, CT 06810-7834
(203) 743-9760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74917
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
08/01/2023
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