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Individual

TEJAS J MODI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5800
(270) 825-5810
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5800
(270) 825-5810

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4933
KY

Other

Enumeration date
01/22/2013
Last updated
12/04/2020
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