NPI 1992096739 · live from the CMS NPI Registry
Roshan Y Modi, MD
Radiology, Diagnostic Radiology in Newark, DE. National Provider Identifier 1992096739, active.
NPI record
| NPI | 1992096739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4755 Ogletown Stanton Road, Newark, DE 19718 |
| Practice phone | 302-733-1806 |
| Mailing address | 200 Hygeia Dr Ste 2300, Newark, DE 19713 |
| Enumerated | April 27, 2011 |
| Last updated | September 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 25MA10435800 (NJ) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | C10012126 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.