MAMATHA MODEM

DALLAS, TX
NPI1528174943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: TX  P1902)
Additional Taxonomies207RG0300X Internal Medicine, Geriatric Medicine
(Licence: AR  E4935)
Enumeration Date2006-08-21
Last Update Date2013-03-30
Business Address
-- MAMATHA MODEM M.D
1400 N WESTMORELAND RD
DALLAS, TX 75211-1656
Phone number: 214-266-0500
Mailing Address
-- MAMATHA MODEM M.D
PO BOX 660599
DALLAS, TX 75266-0599
Phone number: