Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | ME141110 | FL |
Y | 207RP1001X | Pulmonary Disease | ME141110 | FL |
NPI | 1043573769 |
---|---|
Provider Name | Dr. Aakash M Modi |
First Address | Jacksonville, FL 32232-5278 |
Second Address | Jacksonville, FL 32207-8432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 27/09/2019 |