DR. MADHU MODY


Address: 17929 Lake Vista Dr, Encino, CA 91316-4443
Phone: 8187083620

DR. MADHU MODY (NPI# 1700295680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700295680
Entity Type Individual
Full Name DR. MADHU MODY
Practice Address 17929 Lake Vista Dr
Encino
CA 91316-4443
Practice Telephone 8187083620
Mailing Telephone 8187083620
Enumeration Date 2014-08-05
Last Update Date 2014-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
A30547 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 17929 LAKE VISTA DR
City ENCINO
State CA
Zip Code 91316-4443

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1962857235 Jessica Shlager Occupational Therapist 6345 Balboa Boulevard Suite 120, Encino, CA 91316 2016-04-25
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366771941 Richard Allen Williams Internal Medicine 3425 Clairton Pl, Encino, CA 91436-4137 2009-12-10
1295750164 Sohail S Mahboubian Internal Medicine 16133 Ventura Blvd Ste 415, Encino, CA 91436-2429 2006-07-13
1699768275 Mariappan Ganesa Pandian Internal Medicine 16542 Ventura Blvd, Suite 402, Encino, CA 91436-2005 2005-08-29
1699930685 Ankur Gupta Internal Medicine 16542 Ventura Blvd Ste 402, Encino, CA 91436-4562 2008-07-19
1760682868 Ashish Kumar Aggarwal Internal Medicine 16542 Ventura Blvd, Suite 402, Encino, CA 91436-2005 2007-07-18
1588872907 California Center for Cardiothoracic Surgery, A Medical Group Internal Medicine 16255 Ventura Blvd, Suite 910, Encino, CA 91436-2302 2007-05-18
1710041652 James Henry Fleisher Internal Medicine 16133 Ventura Blvd, Suite 1180, Encino, CA 91436-2403 2006-12-21
1750445060 Cardiac Associates Medical Group, Inc Internal Medicine 16133 Ventura Blvd, Suite 1180, Encino, CA 91436-2403 2006-12-21
1104918259 Encino-tarzana Cardiology Panel Medical Associates Internal Medicine 16237 Ventura Blvd, Encino, CA 91436-2201 2006-09-28
1982710810 Jerome A Hamburger Internal Medicine 16133 Ventura Blvd, Suite 1180, Encino, CA 91436-2403 2006-08-22
Find all providers in ENCINO

Competitor

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City ENCINO
Zip Code 91316

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Dataset Information

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.

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