DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW MODIC, MD

Active

ANDREW MODIC, MD is a Internal Medicine healthcare provider located in RIDGECREST, California. NPI 1063831972 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · RIDGECREST, CA

Registration Details

NPI Number
1063831972
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2014 (12.367485023205 yrs)
Last Updated
Feb 12, 2019
Licenses
MD.34762 (AL)
A155740 (CA)

Practice Information

Address
1111 N CHINA LAKE BLVD
RIDGECREST, CA, 935553131
Browse CA providers · Browse ZIP 93555
Phone
7604993855
Fax
7604993870
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in RIDGECREST, CA

Name Credential NPI
DR. DOUGLAS E. ROBERTS JR. M.D. 1508869926
DR. LAWRENCE N. COSNER JR. MD 1851393813
AMIKJIT SINGH REEN M.D. 1720061112
DR. KEVIN SEAN FLANIGAN MD 1003987587
DR. VERNON HARVEY SHULL MD 1205902947
DR. CHERIE ANN VANHUSE M.D. 1619165057
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.