MEDICARE: VANRAJ M MODHVADIA DDS

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	122300000X	Dentist	DS3736	TN

General Provider Information

NPI Number	:	1922099456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANRAJ M MODHVADIA DDS

Provider Business Mailing Address
First Line	:	3122 THOMAS ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-6003
Country	:	US
Telephone Number	:	901-353-2424
Fax Number	:	901-353-2121

Provider Business Practice Location Address
First Line	:	3122 THOMAS ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-6003
Country	:	US
Telephone Number	:	901-353-2424
Fax Number	:	901-353-2121

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346392347 — 2001 VISION CENTER PC
Practice Location Address:

3142 THOMAS ST
MEMPHIS, TN
38127-6003

Practice Phone: 901-353-6222
Practice Fax: 901-353-3688

1184030579 — ARIANNE PEOPLES PA
Practice Location Address:

3124 THOMAS ST
MEMPHIS, TN
38127-6003

Practice Phone: 901-701-2540
Practice Fax: 901-260-8449

1295204907 — JOHN LINDSEY OD
Practice Location Address:

3142 THOMAS ST
MEMPHIS, TN
38127-6003

Practice Phone: 901-353-6222
Practice Fax:

1639902422 — MARY BROOKS THIGPEN CRNP
Practice Location Address:

969 FRAYSER BLVD
MEMPHIS, TN
38127-5977

Practice Phone: 901-842-3162
Practice Fax:

1336149558 — DR. RICHARD A NELSON MD
Practice Location Address:

969 FRAYSER BLVD
MEMPHIS, TN
38127-5977

Practice Phone: 901-701-2540
Practice Fax: 901-260-8449

1790778991 — DR. ROBERT A DECOLLI JR. D.O
Practice Location Address:

3360 N WATKINS ST
MEMPHIS, TN
38127-6405

Practice Phone: 901-401-7150
Practice Fax: 901-347-1285

Directions to “ VANRAJ M MODHVADIA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.