Individual
DIPABEN D MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7200 MCNAIR, SUITE 8A, HOUSTON, TX 77030
(713) 798-2400
(713) 798-2688
Mailing address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
(832) 744-9390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1244
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M1244
TX
207RP1001X
Pulmonary Disease Physician
Primary
M1244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M5415
BCBSTX PROV NO
TX
Enumeration date
05/19/2006
Last updated
09/29/2021
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