Provider Demographics
NPI:1407411895
Name:MODI, SILKI PANKAJKUMAR (MD)
Entity Type:Individual
Prefix:
First Name:SILKI
Middle Name:PANKAJKUMAR
Last Name:MODI
Suffix:
Gender:F
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:THE WOMEN'S CENTER
Mailing Address - Street 2:1801 SUNSEET DRIVE
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-4127
Mailing Address - Fax:803-434-4155
Practice Address - Street 1:THE WOMEN'S CENTER
Practice Address - Street 2:1801 SUNSEET DRIVE
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-4127
Practice Address - Fax:803-434-4155
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL84406207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology