Individual
DR. BADRI G MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E. DUARTE RD, DUARTE, CA 91010-3012
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A144486
CA
Other
Enumeration date
06/11/2012
Last updated
11/07/2017
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