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Contact Information

YASODA MODALI, MD
374 E.GRAND AVE
SIUC STUDENT HEALTH CENTER
CARBONDALE, IL62901
 Phone: 618-453-4346
 Fax: 618-453-2347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for YASODA MODALI · (Female)

NPI # 1063565570
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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