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Individual

MS. AMI SONIA MODH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451
Mailing address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
OS12135
FL
2085R0202X
Diagnostic Radiology Physician
OT012696
PA
2085R0202X
Diagnostic Radiology Physician
Primary
P3932
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302798901
TX
Enumeration date
05/11/2012
Last updated
08/18/2025
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