Individual
SEEMA A MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 HARPER DR NE, PROVIDER RESOURCE GROUP, ALBUQUERQUE, NM 87109-3587
(505) 823-8511
(505) 823-8555
Mailing address
5901 HARPER DR NE, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87109-3587
(505) 823-8528
(505) 823-8555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2006-0468
NM
208000000X
Pediatrics Physician
MD2006-0468
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
07/10/2006
Last updated
09/11/2025
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