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Contact Information

MICHAEL T MODIC, MD
3601 THE VANDERBILT CLINIC
NASHVILLE, TN37232
 Phone: 615-322-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MICHAEL T MODIC · (Male)

NPI # 1285698290
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2006
Last updated 03/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 38224
  • OH Medicaid 0413896
Hospital affiliation(s)
  • VANDERBILT UNIVERSITY HOSPITAL - (Acute Care)
    1161 21ST AVENUE SOUTH
    NASHVILLE, TN 37232
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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