License holder summary

Praveen Kumar Modi is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Praveen Kumar Modi is CentraCare Clinic, 811 SE 2nd Street #200, Little Falls, MN 56345. This doctor license is not current. The license was granted 05/13/2000 and expired on 03/31/2004.

Department of Safety and Professional Services

Board of Medical Practice

Praveen Kumar Modi
Medical - Physician And Surgeon
License number
42541
Date granted
05/13/2000
Date expires
03/31/2004
Class
Medical - Physician And Surgeon
Status
Canceled
Address
CentraCare Clinic, 811 SE 2nd Street #200, Little Falls, MN 56345
doctorsminnesota.org
ID 22263286
LAST UPDATED 2024-04-11 19:35:52 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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