Individual
DR. BIJAL J MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8196 WALNUT HILL LN STE 100, DALLAS, TX 75231-7001
(214) 739-4175
(214) 346-3541
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01061784A
IN
207RH0003X
Hematology & Oncology Physician
Primary
M8846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285684944
NPI
—
05
—
203449801
—
TX
05
—
203449802
—
TX
01
—
8CA991
BLUECROSS BLUESHIELD OF TEXAS
TX
01
—
P00829938
RAILROAD MEDICARE
TX
Enumeration date
05/11/2006
Last updated
04/24/2025
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