Dr Sujal Hemant Modi, MD | |
720 Eskenazi Ave, Indianapolis, IN 46202-5187 | |
(317) 880-7666 | |
(317) 880-0448 |
Full Name | Dr Sujal Hemant Modi |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 720 Eskenazi Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184068561 | NPI | - | NPPES |
Entity Name | Genesis Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547 |
Mailing Address | Practice Location Address |
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Dr Sujal Hemant Modi, MD Osu Divsion Of Cardiovascular Medicine, 473 W 12th Ave Ste 200, Columbus, OH 43210-1252 Ph: (614) 292-4967 | Dr Sujal Hemant Modi, MD 720 Eskenazi Ave, Indianapolis, IN 46202-5187 Ph: (317) 880-7666 |
Irene A Carrothers, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |