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Contact Information

JIGNESH M MODI, MD
18 SQUADRON BLVD
NEW CITY, NY10956-5210
 Phone: 845-634-9729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for JIGNESH M MODI · (Male)

NPI Number 1508062167
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2007
Last updated 04/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 25455
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
  • WILLIAM W BACKUS HOSPITAL - (Acute Care)
    326 WASHINGTON ST
    NORWICH, CT 06360
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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