Yasoda Modali in Carbondale - Psychiatry

Yasoda Modali - NPI 1063565570

Yasoda Modali is a Psychiatry in Carbondale, Illinois. Yasoda Modali practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Yasoda Modali is 1063565570. The last update date is 2007-07-08.

Yasoda Modali's current location address is 374 E.grand Ave, Carbondale, Illinois. You can contact this provider via phone number 6184534346 and fax number 6184532347. The mailing address for Yasoda Modali is 374 E.grand Ave, Carbondale, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Yasoda Modali
Address 374 E.grand Ave, Carbondale, Illinois
Phone Number 6184534346
Fax Number 6184532347
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1063565570
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 374 E.grand Ave
City Carbondale
State Illinois (IL)
Post Code 62901
Phone Number 6184534346
Fax Number 6184532347

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Yasoda Modali

What is the unique 10-digit identification code issued to Yasoda Modali by the Centers for Medicare & Medicaid Services?

The Yasoda Modali has been assigned the NPI (National Provider Identifier) 1063565570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Yasoda Modali is physically located?

The Yasoda Modali is physically situated at the following address: 374 E.Grand Ave, Carbondale, IL, 62901.

What is Yasoda Modali's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Yasoda Modali is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063565570 to Yasoda Modali?

The Yasoda Modali received its 1063565570 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.

As of what date was the information pertaining to Yasoda Modali, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Yasoda Modali, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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