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

Individual provider Psychiatry Physician · NPI 1679611842

Poonam Modha, MD is a Psychiatry in Warwick, Rhode Island. Graduated from University of Massachusetts Medical School in 2005, 21 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
21
Trained at
University of Massachusetts Medical School
Licensed in
RI
In the registry since
2007
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

455 Toll Gate Rd Psychiatry Liaison Clinic
Warwick, RI 02886
Phone: (401) 737-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 Blackstone Blvd, Providence, RI 02906-4800 — (401) 455-6571

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD12839 (RI)

Record details

NPI number1679611842
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address455 Toll Gate Rd, Prc And Credentialing, Warwick, RI 02886-2759

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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