Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUILLERMO MODAD, M.D.
ActiveGUILLERMO MODAD, M.D. is a Hospitalist healthcare provider located in MOSCOW, Idaho. NPI 1588982888 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · MOSCOW, ID
Registration Details
- NPI Number
- 1588982888
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2010 (16.298795830388 yrs)
- Last Updated
- Jul 19, 2024
- Licenses
-
M-12525 (ID)M-12525 (ID)
Practice Information
- Address
-
700 S MAIN STMOSCOW, ID, 838433046Browse ID providers · Browse ZIP 83843
- Phone
- 2088824511
- Fax
- 2088836580
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Pediatrics
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.