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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAMATHA MODEM, M.D

Active

MAMATHA MODEM, M.D is a Gastroenterology healthcare provider located in DALLAS, Texas. NPI 1528174943 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · DALLAS, TX

Registration Details

NPI Number
1528174943
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2006 (20.025126080605 yrs)
Last Updated
Mar 30, 2013
Licenses
P1902 (TX)
E4935 (AR)

Practice Information

Address
1400 N WESTMORELAND RD
DALLAS, TX, 752111656
Browse TX providers · Browse ZIP 75211
Phone
2142660500
Primary Specialty
Gastroenterology
207RG0300X
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in DALLAS, TX

Name Credential NPI
RAVINDRA MOHAN BHARADWAJ MD 1477526044
LYNNE ANNE MARCUM KIRK MD 1225097348
BELINDA A. VICIOSO MD 1447210695
CRAIG DOUGLAS RUBIN M.D. 1679533517
VIVYENNE MARIE-LOUISE ROCHE MD 1285690677
DIANA R KERWIN MD 1750335097
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.