| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUNJAY MODI | 1609371855 | 2023-01-21 |
Sunjay Modi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609371855. Registration indicates Sunjay Modi is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Sunjay Modi |
| Practice Office Address | 500 UNIVERSITY DR HERSHEY, PA US |
| Practice Office Telephone | 7175310003 |
| Mailing Address | 500 UNIVERSITY DR HERSHEY, PA 170332360 US |
| Business Telephone | 7175316886 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 500 University Dr | Hershey, PA 170332360 | 7175310003 |
| 2799 W Grand Boulevard | Detroit, MI 48202 | 3139161888 / 3139161394 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |