Dr. Badri G Modi, MD
Dermatology in Duarte, CA. Individual provider (NPI-1).
NPI number1457613986
StatusActive
Last updated in NPPESNov 7, 2017
Details
- NPI
- 1457613986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Badri G Modi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2012
- Last updated
- Nov 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | A144486 | CA | Yes |
Practice location
1500 E. Duarte RdDuarte, CA 91010-3012
Phone 626-359-8111
Mailing address
Po Box 512185Los Angeles, CA 90051
Phone 626-775-3514
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