Meril Surendra Modi, D.D.S. is a student in an organized health care education training program in Burbank, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Meril Surendra Modi, D.D.S. NPI is 1295025930. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1112 N 3RD ST
BURBANK, CA
ZIP 91504-301
Phone: (818) 497-7836
The NPI 1295025930 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).
The enumeration date for this NPI number is 4/14/2011 and was last updated on 4/14/2011.