Vinai Modini Modem MD

NPI 1790715761 - Pediatrics - 2080P0203X

NPI Details
NPI 1790715761
Gender Male
Enumeration Date 07/04/2006
Last Updated 06/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1935 MEDICAL DISTRICT DR
CHILDREN'S MEDICAL CENTER DALLAS
DALLAS TX, 75235-7701, US
Phone (214) 456-7000
Fax
Business Location
4805 COPPER MOUNTAIN LN
RICHARDSON TX, 75082-3816, US
Phone (972) 479-1221
Fax (972) 479-1221
Toxanomy
Taxonomy Code 2080P0203X
License State Texas
License Number M3416
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According to our database, Dr. Vinai Modini Modem MD NPI is 1790715761, taxonomy code is 2080P0203X and license number is M3416, license state is located at Texas. Vinai Modini Modem MD physically located at 1935 Medical District Dr, Dallas TX, 75235-7701. NPI Number Vinai Modini Modem MD has the Individual type.

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1790715761 NPI number is provided on an as is basis without warranty of any kind. 1790715761 is maintained by the National Plan & Provider Enumeration System. The contents of Vinai Modini Modem MD are for informational purposes only.