Jamal Modir, MD is a
Colon & Rectal Surgery physician based in San Jose, California. Jamal Modir is licensed to practice in California (license number ) and his current practice location is 2505 Samaritan Dr, 301, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 358-1933.
NPI number for Jamal Modir is 1336223270 and his current mailing address is 2505 Samaritan Dr, 301, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336223270.
Physician's Profile
| Full Name | Jamal Modir |
|---|
| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 2505 Samaritan Dr, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336223270
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jamal Modir such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336223270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | (California) | Primary |
| 208C00000X | Colon & Rectal Surgery | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamal Modir is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jamal Modir, MD
2505 Samaritan Dr, 301,
San Jose, CA 95124
Ph: (408) 358-1933 | Jamal Modir, MD
2505 Samaritan Dr, 301,
San Jose, CA 95124
Ph: (408) 358-1933 |
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