Individual
DR. SHREYAS ASHWIN MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0462
(409) 772-4194
Mailing address
7019 LASKER DR APT 821, GALVESTON, TX 77551-1773
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
BP3-0026880
TX
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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