Kiran R. Modi, M.D., P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KIRAN R. MODI, M.D., P.A.

Practice address

500 N Washington Ave
Suite # 106
Titusville, FL 32796-2759

Phone

(321) 264-9100

Fax

(321) 264-1164

NPI assigned

Nov 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiran R Modi, M.D.

Title

President

Phone

(321) 264-9100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1154622447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE",
            "address_2": "SUITE # 106",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962759",
            "telephone_number": "321-264-9100",
            "fax_number": "321-264-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE",
            "address_2": "SUITE # 106",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962759",
            "telephone_number": "321-264-9100",
            "fax_number": "321-264-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN R. MODI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-264-9100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Alicia Kilkenny, M.ED., B.S.
• Katrina Killian
• Doris Kimble
• Kathryn Kincannon, COTA/L
• Tyler Kinnebrew, DC
• Dianne Knight, M.D.
• Fred Kodesch, M.D.
• Linda M Kodesch, M.D.
• Sarah Elizabeth Koehnemann, O.D
• Jennifer Eleanor Koffman, COTA/L

• Cardiovascular Disease Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.