SHEELA D MODIN (NPI# 1477519403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477519403 |
| Entity Type | Individual |
| Full Name | SHEELA D MODIN |
| Other Name | SHEELA DHARSANI PUTTASWAMAIAH |
| Credential | M.D. |
| Practice Address |
2121 Medical Park Dr Suite 4 Silver Spring MD 20902-4054 |
| Mailing Address |
Po Box 418837 Boston MA 02241-8837 |
| Practice Telephone | 3016814422 |
| Practice Fax Number | 3016811684 |
| Mailing Telephone | 8888465527 |
| Mailing Fax Number | 6073242369 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D0045119 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NATIONAL CAPITOL PPO | 497790 | 01 |
| MD | AETNA PPO/POS | 7509331 | 01 |
| MD | CIGNA | 8676971005 | 01 |
| MD | MAMSI | 270567 | 01 |
| MD | UNITED HEALTHCARE | 00002153455 02 | 01 |
| MD | FIRST HEALTH/CCN | 1179916 | 01 |
| MD | AETNA HMO | 3624169 | 01 |
| MD | CAREFIRST BC/BS | 60332702 | 01 |
| MD | 022600900 | 05 | |
| DC | 034402500 | 05 | |
| MD | JOHNS HOPKINS HEALTHCARE | 11931 | 01 |
| DC | CAREFIRST BC/BS | 29020004 | 01 |
| MD | AMERIGROUP | 52127 | 01 |
| Street Address |
2121 MEDICAL PARK DR SUITE 4 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497720247 | James Jaffe | Radiology | 2121 Medical Park Dr, Suite 1, Silver Spring, MD 20902-4054 | 2006-02-22 |
| 1316181092 | Benjamin Michael Wisotsky | Radiology | 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 | 2009-04-27 |
| 1497778690 | Latasha Nicole Baxter | Nurse Practitioner | 2121 Medical Park Dr, Suite 2, Silver Spring, MD 20902-4054 | 2006-07-26 |
| 1952320459 | Tifani Davis Gilliam | Radiology | 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 | 2006-07-18 |
| 1891759817 | Daniel H Clarke | Radiology | 2121 Medical Park Dr, Suite 4, Silver Spring, MD 20902-4054 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1750459590 | Abebe Haregewoin | Radiology | 11030 Amherst Ave, Silver Spring, MD 20902-7627 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 1295055481 | Deborah Citrin | Radiology | 10 Crc B2 3500, 10 Center Drive, Bethesda, MD 20892-0001 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20902 |
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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.