IndividualActive
Vijay Modur, MD
NPI 1821551979 · Clinical Pathology Physician · Acton, MA
Provider details
- NPI number
- 1821551979
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2010013501 (MO)
Mailing address
50 Binney St
Cambridge, MA 02142-1512
Registry dates
- Enumerated
- 2019-04-06
- Last updated
- 2019-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.