Individual
DR. NITESH S MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
623 MONTECITO BLVD, NAPA, CA 94559-1515
(914) 771-7335
Mailing address
3325 JEFFERSON ST # 1052, NAPA, CA 94558-3437
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A10702
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
036141920
IL
Other
Enumeration date
03/02/2011
Last updated
06/22/2023
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