Dr VITHALJI J MODHA is a male medical professional, specializing in Psychiatry. He graduated in 1979.
NORTHEAST IOWA MENTAL HEALTH CENTER
36 S FREDERICK
OELWEIN
IA
506622305
Tel: 5632835774
| Npi | 1013964279 |
| Pac Id | 1557556552 |
| Professional Enrollment Id | I20101117000056 |
| Last Name | MODHA |
| First Name | VITHALJI |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1979 |
| Primary Specialty | PSYCHIATRY |
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| Organization Legal Name | NORTHEAST IOWA MENTAL HEALTH CENTER |
| Group Practice Pac Id | 1355230475 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 36 S FREDERICK |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OELWEIN |
| State | IA |
| Zip Code | 506622305 |
| Phone Number | 5632835774 |
| Hospital Affiliation Ccn 1 | 161316 |
| Hospital Affiliation Lbn 1 | GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS |
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| Professional Accepts Medicare Assignment | Y |
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