ANJALI MODI MANDER M.D. NPI 1245594142

NPI Information

NPI: 1245594142
Provider Name: ANJALI MODI MANDER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: ADVANCED RADIOLOGY SERVICES PC

PECOS Registration: Yes

Address:
100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-1609
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Anjali Modi Mander, M.D. is a diagnostic radiology radiology in Grand Rapids, MI with 12 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Anjali Modi Mander, M.D. NPI is 1245594142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-1609

The NPI 1245594142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2012 and was last updated on 8/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		4301101534	MICHIGAN	No
2	2085R0202X	Radiology	Diagnostic Radiology	4301101534	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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