Provider Demographics
NPI:1154398683
Name:MODI, NAVITA (MD)
Entity type:Individual
Prefix:DR
First Name:NAVITA
Middle Name:
Last Name:MODI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 GREENWAY CENTER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3525
Mailing Address - Country:US
Mailing Address - Phone:301-459-4317
Mailing Address - Fax:301-459-5784
Practice Address - Street 1:7525 GREENWAY CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:301-459-4317
Practice Address - Fax:301-459-5784
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD05235207V00000X
VA0101237337207V00000X
MDD0078303207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology