TEJAS J MODI


Address: 900 Hospital Dr, Madisonville, KY 42431-1644
Phone: 2708255800

TEJAS J MODI (NPI# 1912245267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912245267
Entity Type Individual
Full Name TEJAS J MODI
Credential M.D.
Practice Address 900 Hospital Dr
Madisonville
KY 42431-1644
Practice Telephone 2708255800
Practice Fax Number 2708255810
Mailing Telephone 2708255800
Mailing Fax Number 2708255810
Enumeration Date 2013-01-22
Last Update Date 2016-07-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4933 KY Allopathic & Osteopathic Physicians

Other Providers TEJAS MODI

NPI Name Taxonomy Address Enumeration
1912007600 Tejas K Modi Dentist 75 W Nuevo Rd Ste A B, Perris, CA 92571-0801 2006-09-23

Office Location

Street Address 900 HOSPITAL DR
City MADISONVILLE
State KY
Zip Code 42431-1644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558364026 Alice Beary Registered Nurse 900 Hospital Dr, Madisonville, KY 42431-1644 2005-05-27
1972129286 Covenant Anesthesia Pllc Nurse Anesthetist, Certified Registered 900 Hospital Dr, Madisonville, KY 42431-1644 2020-06-23
1427680412 Robbie Leigh Jones Nurse Practitioner 900 Hospital Dr, Madisonville, KY 42431-1644 2020-02-07
1316597032 Whitney Noel Nurse Anesthetist, Certified Registered 900 Hospital Dr, Madisonville, KY 42431-1644 2019-09-14
1578112512 Tabitha Kaitlin Oliver Pharmacist 900 Hospital Dr, Madisonville, KY 42431-1644 2019-09-11
1922656990 Tyler Lee Burns Nurse Anesthetist, Certified Registered 900 Hospital Dr, Madisonville, KY 42431-1644 2019-09-03
1639726540 Jennifer Nicole Estes Nurse Anesthetist, Certified Registered 900 Hospital Dr, Madisonville, KY 42431-1644 2019-08-26
1508425935 Anne Taylor Beck Student in an Organized Health Care Education/Training Program 900 Hospital Dr, Madisonville, KY 42431-1644 2019-06-10
1194298042 Meredith Hyde Nurse Practitioner 900 Hospital Dr, Madisonville, KY 42431-1644 2019-01-03
1295213973 Sandra Alexis Soriano Physician Assistant 900 Hospital Dr, Madisonville, KY 42431-1644 2018-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750846309 Sarah Davenport Ziegler Registered Nurse 3050 Nebo Rd, Madisonville, KY 42431 2019-02-08
1134604903 Kelsey Dawn Wilson Occupational Therapist 425 Island Ford Rd, Madisonville, KY 42431 2018-09-27
1174006209 Shaun Vickery Physical Therapist 425 Island Ford Road, Madisonville, KY 42431 2018-09-14
1881115384 Filza Tajik Speech-Language Pathologist 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 2017-07-05
1245769280 Susan Hart Student in an Organized Health Care Education/Training Program 200 Clinic Drive, Third North, Madisonville, KY 42431 2017-06-05
1811363880 Cory Eakins Nutritionist 2223 S Main St, Madisonville, KY 42431 2015-08-13
1932598257 Deidra Boyken Counselor 145 E. Center Street Suite 1d, Madisonville, KY 42431 2015-01-12
1841602398 Jessica France Occupational Therapist 339 S Seminary St, Madisonville, KY 42431 2014-06-02
1497097562 Sunrise Children's Services Community/Behavioral Health 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 2013-03-26
1013275023 Creasha King Counselor 1079 Thornberry Dr Ste B, Madisonville, KY 42431 2012-04-26
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083951719 Devalkumar Jitendrabhai Rajyaguru Internal Medicine 900 Hospital Dr, Madisonville, KY 42431 2013-01-15
1417963752 Ronald N Hochman Internal Medicine 900 Hospital Dr, Madisonville, KY 42431-1653 2006-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225576523 Rafiq U Rahman Md Psc Internal Medicine 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 2017-02-07
1659823573 Covenant Oncology & Hematology LLC Internal Medicine 93 C. Michael Davenport Blvd, Suite 2, Frankfort, KY 40601-9702 2016-10-26
1184018285 James Mobley Internal Medicine 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 2015-03-26
1770837270 Chaitanya Iragavarapu Internal Medicine Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 2012-11-05
1285999284 Surabhi Pathak Internal Medicine 613 23rd St Ste 19, Ashland, KY 41101-2878 2012-07-06
1427316900 Ryan Woods Internal Medicine University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 2012-05-02
1730447814 Natalie W. Harper Internal Medicine 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 2012-04-26
1083938542 Metro Hematology Oncology, Pllc Internal Medicine 3620 Wynbrooke Cir, Louisville, KY 40241 2010-03-26
1477743938 Suzanne Jeannette Brown Internal Medicine 102 Physicians Blvd, Glasgow, KY 42141-1299 2007-07-30
1417082470 Jamie Bunch Jarboe Internal Medicine 1100 Brookhaven Rd Ste 103, Franklin, KY 42134-2746 2007-02-22
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Competitor

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City MADISONVILLE
Zip Code 42431

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Dataset Information

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.

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