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Contact Information

KAMALA B MODUR, MD
54 ROOSEVELT RD
VALPARAISO, IN46383-5845
 Phone: 219-462-8246
 Fax: 219-462-7902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KAMALA B MODUR · (Female)

NPI Number 1689656985
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 07/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01032505
  • IN Medicaid 200008730A
  • IN Other 000000090695 ANTHEM BCBS
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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