Individual
DR. ACHAL PANKAJ MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2360 N I 35 STE 310, WAXAHACHIE, TX 75165-5336
(469) 800-9930
(469) 800-9940
Mailing address
2360 N I 35 STE 310, WAXAHACHIE, TX 75165-5336
(469) 800-9930
(469) 800-9940
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
57012170
OH
208800000X
Urology Physician
Primary
N9270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282992103
—
TX
01
—
282992104
MEDICAID OTHER
TX
05
—
282992105
—
TX
Enumeration date
05/22/2007
Last updated
02/13/2026
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