| Praveen Modi, M.d., P.c. | |
|
990 W Ann Arbor Trl Suite 102 Plymouth MI 48170-6204 | |
| (734) 414-1088 | |
| (734) 414-1095 |
| Full Name | Praveen Modi, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 990 W Ann Arbor Trl, Plymouth, Michigan |
| Authorized Official Name and Position | Donna Billand (OFFICE MANAGER) |
| Authorized Official Contact | 7344141023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Praveen Modi, M.d., P.c. 990 W Ann Arbor Trl Plymouth MI 48170-6204 Ph: (734) 414-1088 | Praveen Modi, M.d., P.c. 990 W Ann Arbor Trl Suite 102 Plymouth MI 48170-6204 Ph: (734) 414-1088 |
| NPI Number | 1922345107 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922345107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | PM069773 (Michigan) | Primary |
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