Individual
DR. BOSKY NILESH MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10080574
TX
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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