Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meet Modi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700348018

Meet Modi is an Internal Medicine in Mesa, Arizona. Graduated from University of Arizona College of Medicine in 2019, 7 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone: (480) 321-2000
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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 69512 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700348018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address6902 E Edgemont Ave, Scottsdale, AZ 85257-1332

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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