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1912024167
SAPAN MODY
SANTA CRUZ, CA
NPI
1912024167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A92948)
Enumeration Date
2007-03-23
Last Update Date
2021-12-29
Business Address
SAPAN MODY MD
1595 SOQUEL DR STE 220
SANTA CRUZ, CA 95065-1721
Phone number: 209-603-8524
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Mailing Address
SAPAN MODY MD
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 209-603-8524
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