Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK L MODIC, MD
ActiveMARK L MODIC, MD is a Gastroenterology healthcare provider located in MIDDLEBURG HEIGHTS, Ohio. NPI 1336148022 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · MIDDLEBURG HEIGHTS, OH
Registration Details
- NPI Number
- 1336148022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2005 (21.111630167672 yrs)
- Last Updated
- Oct 4, 2012
- License
-
049287 (OH)
Practice Information
- Address
-
7255 OLD OAK BLVDSUITE C412MIDDLEBURG HEIGHTS, OH, 441303329Browse OH providers · Browse ZIP 44130
- Phone
- 4408164546
- Fax
- 4408164549
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in MIDDLEBURG HEIGHTS, OH
| Name | Credential | NPI |
|---|---|---|
| LAKSHMAIAH POLA | MD | 1952300642 |
| NEWTON PACKIARAJ MUTHUNAYAGAM | M.D. | 1043367105 |
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.