Provider Demographics
NPI:1043204423
Name:MODI, SEEMA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:C
Last Name:MODI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4323 N JOSEY LN
Mailing Address - Street 2:PLAZA 1, SUITE 204
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4619
Mailing Address - Country:US
Mailing Address - Phone:972-492-4400
Mailing Address - Fax:972-248-1701
Practice Address - Street 1:4323 N JOSEY LANE
Practice Address - Street 2:PLAZA 1, SUITE 204
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4619
Practice Address - Country:US
Practice Address - Phone:972-492-4400
Practice Address - Fax:972-248-1701
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2015-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN0285207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine