Individual
ISITRI MODAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7000 W PLANO PKWY STE 250, PLANO, TX 75093-8466
(972) 981-7255
Mailing address
122 W COLORADO BLVD, DALLAS, TX 75208-2382
(214) 947-6761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086685
MI
207R00000X
Internal Medicine Physician
Primary
M9508
TX
Other
Enumeration date
06/02/2006
Last updated
04/09/2024
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