RAJIV MODAK (NPI# 1124002324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124002324 |
| Entity Type | Individual |
| Full Name | RAJIV MODAK |
| Credential | MD |
| Practice Address |
1500 W Commerce Ct Tucson AZ 85746-6015 |
| Mailing Address |
1500 W Commerce Ct Bldg 1 Tucson AZ 85746-6031 |
| Practice Telephone | 5206703909 |
| Practice Fax Number | 5208062625 |
| Mailing Telephone | 5207929890 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28426 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 527690 | 05 |
| Street Address |
1500 W COMMERCE CT |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598748428 | Milan Jansky | Internal Medicine | 1500 W Commerce Ct, Tucson, AZ 85746-6015 | 2005-11-23 |
| 1841701257 | Sabrina Sykes | Pharmacist | 1500 W Commerce Ct, Tucson, AZ 85746-6031 | 2017-10-12 |
| 1164881116 | Kenneth Tasker | Dentist | 1500 W Commerce Ct, Tucson, AZ 85746 | 2016-02-18 |
| 1073971677 | Maneet Gulati | Student in an Organized Health Care Education/Training Program | 1500 W Commerce Ct, El Rio Community Health Center Southwest, Tucson, AZ 85746 | 2016-02-10 |
| 1528424876 | Charles Lee Brown IIi | Dentist | 1500 W Commerce Ct, Tucson, AZ 85746-6031 | 2016-01-01 |
| 1174927727 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 1500 W Commerce Ct, Bldg 01, 02, Tucson, AZ 85746-6015 | 2014-10-10 |
| 1528487782 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 1500 W Commerce Ct, Bldg 03, Tucson, AZ 85746-6015 | 2014-04-15 |
| 1750672929 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 1500 W Commerce Ct, Bldg 01, 02, Tucson, AZ 85746-6015 | 2011-04-22 |
| 1568775591 | Andrew Stephen Zale | Dentist | 1500 W Commerce Ct, Building #3, Tucson, AZ 85746-6015 | 2010-07-19 |
| 1093026593 | Michelle L Aguilar | Pediatrics | 1500 W Commerce Ct, Tucson, AZ 85746-6015 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| 1003352154 | Pleasant Pediatrics Plc | Pediatrics | 1601 N Oracle Rd, Tucson, AZ 85705-6440 | 2017-01-13 |
| 1134570211 | Eryn Simmons | Pediatrics | 1620 W Commerce Ct, Tucson, AZ 85746-6005 | 2016-06-29 |
| 1063860518 | Rachael Charles | Pediatrics | 2621 N Woodland Rd, Tucson, AZ 85749-9576 | 2016-05-25 |
| 1376998294 | Drew Carter Johnson | Pediatrics | 1625 N Campbell Ave Rm 3301, Tucson, AZ 85719-4330 | 2016-04-28 |
| 1609280742 | Emily Nicole Lawson | Pediatrics | 826 W Placita Estrella Azul, Tucson, AZ 85713-1595 | 2014-06-17 |
| 1598184020 | John Paul Jarczyk | Pediatrics | University of Arizona Dept of Pediatrics, 1501 N. Campbell Ave., Tucson, AZ 85724-0001 | 2014-04-11 |
| 1558780346 | Leo Warren Landau Md | Pediatrics | 11702 E Saint James Rd, Tucson, AZ 85748-7928 | 2014-04-09 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.