Susan C. Modesitt
Gynecologic Oncologist
1240 Lee St
Charlottesville
, Virginia 22908-0001
Susan C. Modesitt
Gynecologic Oncologist
1240 Lee St
Charlottesville
, Virginia 22908-0001
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Susan C. Modesitt
- 500 Ray C Hunt Dr
- Charlottesville, VA
- Zip : 22903-2981
- Phone :
Second Address
- Susan C. Modesitt
- 1240 Lee St
- Charlottesville, VA
- Zip : 22908-0001
- Fax : (434) 244-7526
- Phone : (434) 924-9333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 0101240037 | VA |
National Provider Identifier
| NPI | 1427070598 |
|---|---|
| Provider Name | Susan C. Modesitt |
| First Address | Charlottesville, VA 22903-2981 |
| Second Address | Charlottesville, VA 22908-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 31/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H21330 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.