Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANAN MODHWADIA, MD
ActiveKANAN MODHWADIA, MD is a Psychosomatic Medicine healthcare provider located in WINFIELD, Illinois. NPI 1275792434 is currently active in the NPPES registry. Verify at CMS.
Psychosomatic Medicine · WINFIELD, IL
Registration Details
- NPI Number
- 1275792434
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2008 (18.222988369167 yrs)
- Last Updated
- Jun 14, 2021
- License
-
036154508 (IL)
Practice Information
- Address
-
25 N WINFIELD RD STE 401WINFIELD, IL, 601901379Browse IL providers · Browse ZIP 60190
- Phone
- 6309334200
- Fax
- 6309334210
- Primary Specialty
-
Psychosomatic Medicine
2084P0015X
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.