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1700295680
MADHU MODY
ENCINO, CA
NPI
1700295680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA A30547)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
Dr. MADHU MODY
17929 LAKE VISTA DR
ENCINO, CA 91316-4443
Phone number: 818-708-3620
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Mailing Address
Dr. MADHU MODY
17929 LAKE VISTA DR
ENCINO, CA 91316-4443
Phone number: 818-708-3620
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