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Mondoukpe Seyive Bani Allegra Medegan Fagla, MD, PhD

Student in an Organized Health Care Education/Training Program in Houston, TX. Individual provider (NPI-1).

NPI number1801739735
StatusActive
Last updated in NPPESApr 14, 2026

Details

NPI
1801739735
Entity type
Individual (NPI-1)
Name
Mondoukpe Seyive Bani Allegra Medegan Fagla
Credential
MD, PhD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2026
Certification date
Apr 14, 2026
Last updated
Apr 14, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–TXYes

Practice location

1 Baylor Plz
Houston, TX 77030-3498

Phone 713-798-4951

Mailing address

1 Baylor Plz
Houston, TX 77030-3498

Phone 713-798-4951

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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