Individual
VEESHAL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
(703) 504-3388
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101260115
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101260115
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME140513
FL
207RP1001X
Pulmonary Disease Physician
ME140513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103460600
—
FL
01
—
Q49QA
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/09/2014
Last updated
08/16/2022
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