Individual
MODUR L JANARDHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5429
(857) 203-5623
Mailing address
11 HACKENSACK TER, CHESTNUT HILL, MA 02467-3233
(617) 469-8313
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
035557
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5237
NH
Other
Enumeration date
07/28/2006
Last updated
09/11/2025
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