Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIMPLE MODI, MD
ActiveDR. DIMPLE MODI, MD is a Sports Medicine (Emergency) healthcare provider located in ROME, Georgia. NPI 1205032844 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ROME, GA
Registration Details
- NPI Number
- 1205032844
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2007 (19.186252966911 yrs)
- Last Updated
- Jul 8, 2020
- Licenses
-
068678 (GA)068678 (GA)
Practice Information
- Address
-
550 REDMOND RD NWROME, GA, 301651416Browse GA providers · Browse ZIP 30165
- Phone
- 7622353200
- Fax
- 7062338503
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
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.