PRAVEEN MODI, MD, PC (NPI# 1255528527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255528527 |
| Entity Type | Organization |
| Organization Name | PRAVEEN MODI, MD, PC |
| Practice Address |
3200 Pine Lake Rd West Bloomfield MI 48324-1951 |
| Mailing Address |
43181 Sandstone Dr Novi MI 48377-2718 |
| Practice Telephone | 2488306697 |
| Practice Fax Number | 2486760814 |
| Mailing Telephone | 2488306697 |
| Mailing Fax Number | 2486760814 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | DR. PRAVEEN MODI (OWNER) |
| Authorized Official Telephone | 2488306697 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4620532 | 05 |
| Street Address |
3200 PINE LAKE RD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48324-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
| 1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
| 1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| 1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
| 1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
| 1629072038 | Alfonso Acosta | Family Medicine | 7173 Ilanaway Dr, West Bloomfield, MI 48324 | 2005-06-13 |
| 1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
| Find all providers in zip 48324 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325866 | Judith Michele Mills | Internal Medicine | 4900 Fairway Rdg S, West Bloomfield, MI 48323-3318 | 2020-01-18 |
| 1922564731 | Michael Rottman Md Pllc | Internal Medicine | 6960 Orchard Lake Rd Ste 200, West Bloomfield, MI 48322-4519 | 2019-02-17 |
| 1205318722 | St. Michael's Internal Medicine Physicians, Pllc | Internal Medicine | 4448 Forestview Dr, West Bloomfield, MI 48322-4507 | 2018-08-30 |
| 1649690769 | Kiyan Rad | Internal Medicine | 6629 Chelsea Brg, West Bloomfield, MI 48322-3074 | 2014-04-16 |
| 1205252335 | Shafqat Ali | Internal Medicine | 2945 Woodland Ridge Dr, West Bloomfield, MI 48323-3561 | 2014-03-13 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1801162334 | Allied Internists Pllc | Internal Medicine | 7493 Kennington Blvd, West Bloomfield, MI 48322-3181 | 2012-03-29 |
| 1205165180 | Allan Schwartz Do PC | Internal Medicine | 7446 Pepper Creek, West Bloomfield, MI 48322 | 2009-12-23 |
| 1306083308 | Seymour S. Adelson | Internal Medicine | 2900 Interlaken Rd., West Bloomfield, MI 48323-1817 | 2009-01-13 |
| 1831355882 | Hussam Elkambergy | Internal Medicine | 4259 Wendell Rd, West Bloomfield, MI 48323-3266 | 2008-07-30 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.