Individual
DR. BHARAT M MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 PROFESSIONAL PARK, GLASGOW, KY 42141
(270) 651-8789
(270) 651-1126
Mailing address
PO BOX 308, GLASGOW, KY 42142-0308
(270) 651-8789
(270) 651-1126
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64184831
—
KY
Enumeration date
12/11/2006
Last updated
07/08/2007
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