Individual
SURESH PAUL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834
(252) 744-3253
(252) 744-3194
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2006-01794
NC
Other
Enumeration date
05/22/2007
Last updated
05/30/2008
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