Individual provider · Type 1 NPI

Anjali Modi Mander, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1245594142 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301101534 (MI)
Diagnostic Radiology Physician 2085R0202X347554 (NY)
Internal Medicine Physician 207R00000X4301101534 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1245594142

Anjali Modi Mander, MD's National Provider Identifier is 1245594142, issued on Jun 26, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 17, 2026.