Organization
DIPA MODI, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPABEN DHANANJAY MODI M.D. (PHYSICIAN)
(832) 964-9200
Entity
Organization
Contact information
Practice address
17510 W GRAND PKWY S, #360,MEDICAL PLAZA, SUGAR LAND, TX 77479-2645
(832) 964-9200
(832) 201-5658
Mailing address
5919 BRIDLEWOOD DR, RICHMOND, TX 77469-7304
(832) 964-9200
(832) 201-5658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1244
TX
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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