Kanan Modi is a Specialist in San Dimas, California. Kanan Modi practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kanan Modi is 1881704898. The last update date is 2020-04-20.
Kanan Modi's current location address is 1305 W Arrow Hwy Ste 104, San Dimas, California. You can contact this provider via phone number 9099677826 and fax number 9093949461. The mailing address for Kanan Modi is 1305 W Arrow Hwy Ste 104, San Dimas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kanan Modi |
|---|---|
| Address | 1305 W Arrow Hwy Ste 104, San Dimas, California |
| Phone Number | 9099677826 |
| Fax Number | 9093949461 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881704898 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-04-20 |
Provider Mailing Address Detail
| Address | 1305 W Arrow Hwy Ste 104 |
|---|---|
| City | San Dimas |
| State | California (CA) |
| Post Code | 917732337 |
| Phone Number | 9099677826 |
| Fax Number | 9093949461 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A38793 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A38793 | CA | STATE LICENSE | |
| 00A387930 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kanan Modi by the Centers for Medicare & Medicaid Services?
The Kanan Modi has been assigned the NPI (National Provider Identifier) 1881704898. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kanan Modi's facilities are situated?
The facilities of Kanan Modi are physically located at the following address: 1305 W Arrow Hwy Ste 104, San Dimas, CA, 917732337.
What is Kanan Modi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kanan Modi is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When was the Kanan Modi's 1881704898 issued?
The Kanan Modi's 1881704898 was issued on 2006-08-30.
As of what date were the details pertaining to Kanan Modi last refreshed?
The information related to the Kanan Modi, including its address, specialty, and other relevant details, was last updated on 2020-04-20.