Dipa Modi, M.D.,P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M1244 Issued in TX

Legal business name

DIPA MODI, M.D.,P.A.

Practice address

17510 W Grand Pkwy S
#360,Medical Plaza
Sugar Land, TX 77479-2645

Phone

(832) 964-9200

Fax

(832) 201-5658

NPI assigned

Dec 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dipaben Dhananjay Modi, M.D.

Title

Physician

Phone

(832) 964-9200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1639351679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 BRIDLEWOOD DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697304",
            "telephone_number": "832-964-9200",
            "fax_number": "832-201-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "#360,MEDICAL PLAZA",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "832-964-9200",
            "fax_number": "832-201-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPA MODI, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "DIPABEN",
        "authorized_official_middle_name": "DHANANJAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-964-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.