Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Praveen Kumar Modi, MD

Individual provider Internal Medicine Physician · NPI 1144285669

Dr. Praveen Kumar Modi, MD is an Internal Medicine in Plymouth, Michigan. Graduated from Wayne State University School of Medicine in 1997, 29 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
29
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

990 W Ann Arbor Trl Ste 102
Plymouth, MI 48170-6204
Phone: (734) 414-1088
Fax: (734) 414-1095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence PM069773 (MI)

Record details

NPI number1144285669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2006
Last updated in NPPESMarch 3, 2015
Mailing address990 W Ann Arbor Trl, Suite 102, Plymouth, MI 48170-6204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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