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1457613986
BADRI G MODI
DUARTE, CA
NPI
1457613986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A144486)
Enumeration Date
2012-06-11
Last Update Date
2017-11-07
Business Address
Dr. BADRI G MODI MD
1500 E. DUARTE RD
DUARTE, CA 91010-3012
Phone number: 626-359-8111
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Mailing Address
Dr. BADRI G MODI MD
PO BOX 512185
LOS ANGELES, CA 90051
Phone number: 626-775-3514
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