Individual
PREETI MODI
Active
Individual
PREETI MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119407
IL
207R00000X
Internal Medicine Physician
Primary
2009003444
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922261114
—
MO
01
—
431560263
TRICARE
MO
01
—
P00760857
RR MCR
MO
Enumeration date
07/08/2008
Last updated
02/06/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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