MADHU MODY

ENCINO, CA
NPI1700295680
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: CA  A30547)
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
DR. MADHU MODY
17929 LAKE VISTA DR
ENCINO, CA 91316-4443
Phone number: 818-708-3620
Mailing Address
DR. MADHU MODY
17929 LAKE VISTA DR
ENCINO, CA 91316-4443
Phone number: 818-708-3620