MEDICARE: DR. NAVITA MODI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD05235	DC
2	207V00000X	Obstetrics & Gynecology Physician	0101237337	VA
3	207V00000X	Obstetrics & Gynecology Physician	D0078303	MD

General Provider Information

NPI Number	:	1154398683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVITA MODI M.D.

Provider Business Mailing Address
First Line	:	7525 GREENWAY CENTER DR STE 202
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3525
Country	:	US
Telephone Number	:	301-459-4317
Fax Number	:	301-459-5784

Provider Business Practice Location Address
First Line	:	7525 GREENWAY CENTER DR STE 202
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3525
Country	:	US
Telephone Number	:	301-459-4317
Fax Number	:	301-459-5784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	02/19/2025

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