MEDICARE: DR. SEEMA C MODI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	N0285	TX

General Provider Information

NPI Number	:	1043204423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEEMA C MODI MD

Provider Business Mailing Address
First Line	:	4115 BRIARGROVE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6602
Country	:	US
Telephone Number	:	214-448-7380
Fax Number	:	972-758-4433

Provider Business Practice Location Address
First Line	:	3001 DALLAS PKWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5900
Country	:	US
Telephone Number	:	945-800-7804
Fax Number	:	972-758-4433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	03/24/2026

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