Individual
DR. JITENDRAKUMAR RAJNIKANT MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 WOOD RD, NHCL ANNAPOLIS (PEDIATRICS), ANNAPOLIS, MD 21402-1257
(410) 293-4414
(410) 293-3264
Mailing address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-2273
(410) 293-3264
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D64213
MD
Other
Enumeration date
07/19/2005
Last updated
12/09/2010
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