SearchMaryland1223G0001X

Charuta Modak, DMD

NPI 1699276279 · on the registry since 2018

Practice

Address
4510 Edmondson Ave
Baltimore, MD 21229
Phone
(410) 233-5777
Clinicians at this address
9

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-28

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 Maryland