SearchMichigan133V00000X

Rucha Modak, RD

NPI 1659042695 · on the registry since 2021

Practice

Address
1065 N Huron River Dr Ste 100
Ypsilanti, MI 48197
Phone
(734) 896-4110
Fax
(734) 896-4111
Organisation at this address
Campus Drugs Llc
Trinity Health - Michigan
Iha Health Services Corporation
Iha Health Services Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan