Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TEJAL MODY, M.D.
ActiveDR. TEJAL MODY, M.D. is a Pediatric Radiology healthcare provider located in GLEN MILLS, Pennsylvania. NPI 1417110461 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · GLEN MILLS, PA
Registration Details
- NPI Number
- 1417110461
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2008 (18.119031948045 yrs)
- Last Updated
- Feb 23, 2017
- Licenses
-
P7163 (TX)ME118748 (FL)MD459411 (PA)25MA10023300 (NJ)C10011787 (DE)
Practice Information
- Address
-
101 APPLIED BANK BLVD STE 11NEMOURS DUPONT PEDIATRICS, GLEN MILLSGLEN MILLS, PA, 193423501Browse PA providers · Browse ZIP 19342
- Phone
- 4848008630
- Fax
- 4848008635
- Primary Specialty
-
Pediatric Radiology
2085P0229X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Pediatric Radiology
- Additional Specialty
- Pediatric Radiology
- Additional Specialty
- Pediatric Radiology
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.