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Contact Information

PRANAV MODI, MBBS
830 S GLOSTER ST
TUPELO, MS38801-4996
 Phone: 662-377-6652
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRANAV MODI · (Male)

NPI Number 1720712433
Status Active
Credentials MBBS
Entity Individual
Enumeration date 07/11/2022
Last updated 07/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 33229
  • MS License # T-5281
  • PA License # LT000913
Hospital affiliation(s) Not Available
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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