Isitri Modak MD

NPI 1124066204 - Internal Medicine - 207R00000X

NPI Details
NPI 1124066204
Gender Female
Enumeration Date 06/02/2006
Last Updated 05/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
122 W COLORADO BLVD
DALLAS TX, 75208-2382, US
Phone (214) 947-6761
Fax
Business Location
122 W COLORADO BLVD
DALLAS TX, 75208-2382, US
Phone (214) 947-6761
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301086685
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According to our database, Isitri Modak MD NPI is 1124066204, taxonomy code is 207R00000X and license number is 4301086685, license state is located at Michigan. Isitri Modak MD physically located at 122 W Colorado Blvd, Dallas TX, 75208-2382. NPI Number Isitri Modak MD has the Individual type.

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1124066204 NPI number is provided on an as is basis without warranty of any kind. 1124066204 is maintained by the National Plan & Provider Enumeration System. The contents of Isitri Modak MD are for informational purposes only.