IndividualActive
Anil Modi, MD
NPI 1508868704 · Internal Medicine Physician · Lagrange, GA
Provider details
- NPI number
- 1508868704
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 048066 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Medical Dr
Suite 701
Lagrange, GA 30240-4130
Phone: (706) 882-8971
Fax: (706) 882-8991
Approximate (ZIP-level) locationGet directions
Mailing address
300 Medical Dr
Lagrange, GA 30240-4130
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.