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Individual

MR. MILAN PANKAJ MODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
116 DEFENSE HWY STE 403, ANNAPOLIS, MD 21401-7020
(410) 571-2946
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MD
363AM0700X
Medical Physician Assistant
007458
GA

Other

Enumeration date
05/18/2015
Last updated
04/08/2019
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