Rajiv Modak
MD | Pediatrics | Male
Rajiv Modak, MD is a Tucson, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Rajiv Modak is
1500 W Commerce Ct, Tucson, Arizona - 85746-6015. He can be contacted on phone at
520-670-3909 and fax number 520-806-2625.
Rajiv Modak is a sole proprietor of his business.
NPI number (Unique professional ID) for Rajiv Modak is
1124002324 which was assigned by NPPES on 01 Dec, 2005 and it was last updated on 19 Oct, 2016.
Rajiv Modak license number is
28426 for Pediatrics (208000000X) in Arizona.
Rajiv Modak 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:
Rajiv Modak basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Rajiv Modak |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Rajiv Modak 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 : | 1500 W Commerce Ct
Tucson, AZ, 85746-6015
United States |
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| Phone Number : | 520-670-3909 |
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| Fax Number : | 520-806-2625 |
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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 : | 1124002324 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Dec, 2005 |
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| Last Updated On : | 19 Oct, 2016 |
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Medicare Participation:
Rajiv Modak participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5092093740 |
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| Medicare Enrollment ID : | I20161031001817 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Rutgers New Jersey Medical School |
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| Graduation Year : | 1997 |
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| Accepts Medicare? | Yes. Rajiv Modak accepts medicare insurance. |
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Group Practice Association:
Rajiv Modak is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Rajiv Modak is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| El Rio Santa Cruz Neighborhood Health Center, Inc | 6305739244 | 193 | 1500 W Commerce Ct
Tucson, AZ - 857466031
Ph: 5206702650 | Yes |
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 Rajiv Modak are as mentioned. Primary taxonomy code for Rajiv Modak, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 28426 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Rajiv Modak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 527690 | MEDICAID | AZ | |
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 : | 1500 W Commerce Ct, Bldg 1
Tucson, AZ, 85746-6031
United States |
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| Phone Number : | 520-792-9890 |
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Business Location:
Patients can refer following map for directions to
Rajiv Modak 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.