Shakeel Modak
MBBS | Pediatrics | Male
Shakeel Modak, MBBS is a New York, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shakeel Modak is
1275 York Ave, New York, New York - 10021-6007. He can be contacted on phone at
212-639-7623.
Shakeel Modak is a sole proprietor of his business.
NPI number (Unique professional ID) for Shakeel Modak is
1063483535 which was assigned by NPPES on 31 Jan, 2006 and it was last updated on 26 Apr, 2012.
Shakeel Modak license number is
222483 for Pediatrics (208000000X) in New York.
Shakeel 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:
Shakeel Modak basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shakeel Modak |
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| Credential : | MBBS |
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| Gender : | Male |
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Business Address:
Shakeel 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 : | 1275 York Ave
New York, NY, 10021-6007
United States |
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| Phone Number : | 212-639-7623 |
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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 : | 1063483535 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Jan, 2006 |
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| Last Updated On : | 26 Apr, 2012 |
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Medicare Participation:
Shakeel Modak participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0345429346 |
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| Medicare Enrollment ID : | I20110124000303 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1988 |
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| Accepts Medicare? | Yes. Shakeel Modak accepts medicare insurance. |
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Group Practice Association:
Shakeel 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 Shakeel 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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| Memorial Pediatric Group | 1557250958 | 30 | 1275 York Ave
New York, NY - 100656007
Ph: 2126392000 | 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 Shakeel Modak are as mentioned. Primary taxonomy code for Shakeel Modak, MBBS is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 222483 | NY |
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 : | 633 3rd Ave, Box 3
New York, NY, 10017-6706
United States |
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Business Location:
Patients can refer following map for directions to
Shakeel 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.