Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
PRIYANKA SHAH-MODI
Active
Individual
PRIYANKA SHAH-MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029585
IL
122300000X
Dentist
Primary
31755
TX
Other
Enumeration date
08/12/2013
Last updated
09/22/2016
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