Individual
MODAR ALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
5700 GRANITE PKWY STE 200, PLANO, TX 75024-6623
(618) 604-4551
Mailing address
1500 PRESTON RD APT 2513, PLANO, TX 75093-5133
(516) 643-8781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T7150
TX
207RC0000X
Cardiovascular Disease Physician
35068
NH
207RC0000X
Cardiovascular Disease Physician
Primary
T7150
TX
208M00000X
Hospitalist Physician
35.135447
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
07/23/2025
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