Kanan Modi Md Inc
Pediatrics
Kanan Modi Md Inc is a San Dimas, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1305 W Arrow Hwy Ste 104, San Dimas, California - 91773-2337. They can be contacted on phone at
909-394-9004 and fax number 909-394-9461.
NPI number (Unique professional ID) for Kanan Modi Md Inc is
1700210762 which was assigned by NPPES on 27 Aug, 2013 and it was last updated on 27 Aug, 2013.
Kanan Modi Md Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kanan Modi Md Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kanan Modi Md Inc |
|---|
Business Address:
Kanan Modi Md Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1305 W Arrow Hwy Ste 104
San Dimas, CA, 91773-2337
United States |
|---|
| Phone Number : | 909-394-9004 |
|---|
| Fax Number : | 909-394-9461 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700210762 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Aug, 2013 |
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| Last Updated On : | 27 Aug, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kanan Modi |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 909-394-9004 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kanan Modi Md Inc are as mentioned. Primary taxonomy code for Kanan Modi Md Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Kanan Modi Md Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1881704898 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1305 W Arrow Hwy Ste 104
San Dimas, CA, 91773-2337
United States |
|---|
| Phone Number : | 909-394-9004 |
|---|
| Fax Number : | 909-394-9461 |
|---|
Business Location:
Patients can refer following map for directions to
Kanan Modi Md Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.