| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUNJAY MODI | 1609371855 | 2023-10-05 |
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 Allopathic & Osteopathic Physicians, Internal Medicine (Internal Medicine: Allergy & Immunology, ) (Specialist Network, ) (Internal Medicine Allergy & Immunology, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Sunjay Modi |
| Practice Office Address | 3600 W 13 MILE RD ROYAL OAK, MI US |
| Practice Office Telephone | 2485490777 |
| Practice Office Fax | 2485495888 |
| Mailing Address | 3600 W 13 MILE RD ROYAL OAK, MI 480736711 US |
| Business Telephone | 2485490777 |
| Business Fax | 2485495888 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 500 University Dr | Hershey, PA 170332360 | 7175310003 |
| 2799 W Grand Boulevard | Detroit, MI 48202 | 3139161888 / 3139161394 |
| 3600 W 13 Mile Rd | Royal Oak, MI 480736711 | 2485490777 / 2485495888 |
| Code | Practice | License No State |
|---|---|---|
| 207RA0201X PRIMARY | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Allergy & Immunology Specialist Network Internal Medicine Allergy & Immunology Allopathic & Osteopathic Physicians Internal Medicine | 4301508720
MI |