Individual
DR. BHUPENDRA MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Mailing address
1650 GRAND CONCOURSE, 5TH FL ADMIN - DEPT OF OB/GYN, BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
041901
GA
207L00000X
Anesthesiology Physician
Primary
201788
NY
Other
Enumeration date
06/14/2006
Last updated
03/21/2016
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