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1124002324
RAJIV MODAK
TUCSON, AZ
NPI
1124002324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 28426)
Enumeration Date
2005-12-01
Last Update Date
2016-10-19
Business Address
-- RAJIV MODAK MD
1500 W COMMERCE CT
TUCSON, AZ 85746-6015
Phone number: 520-670-3909
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Mailing Address
-- RAJIV MODAK MD
1500 W COMMERCE CT BLDG 1
TUCSON, AZ 85746-6031
Phone number: 520-792-9890
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