Ketan R Mody is a Sports Medicine in Oak Brook, Illinois. Ketan R Mody practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Ketan R Mody is 1659562585. The last update date is 2019-06-17.
Ketan R Mody's current location address is Po Box 3231, Oak Brook, Illinois. You can contact this provider via phone number 6307893764 and fax number 6307949998. The mailing address for Ketan R Mody is Po Box 3231, Oak Brook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ketan R Mody |
|---|---|
| Address | Po Box 3231, Oak Brook, Illinois |
| Phone Number | 6307893764 |
| Fax Number | 6307949998 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659562585 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2019-06-17 |
Provider Mailing Address Detail
| Address | Po Box 3231 |
|---|---|
| City | Oak Brook |
| State | Illinois (IL) |
| Post Code | 605223231 |
| Phone Number | 6307893764 |
| Fax Number | 6307949998 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 36119306 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL2367001 | IL | MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the Ketan R Mody's unique identification number?
The Ketan R Mody has been assigned the NPI (National Provider Identifier) Number 1659562585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Ketan R Mody is located?
The Ketan R Mody is situated at the following address: Po Box 3231, Oak Brook, IL, 605223231.
What is the area of specialization for Ketan R Mody, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ketan R Mody is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
When was the Ketan R Mody's 1659562585 issued?
The Ketan R Mody's 1659562585 was issued on 2007-08-06.
When was the Ketan R Mody's information last updated?
The Ketan R Mody's information was last updated on 2019-06-17.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA