Isitri Modak
PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS


Address: 122 W Colorado Blvd, Dallas, TX 75208-2382
Phone: 2149476700

Isitri Modak (NPI# 1124066204, PAC ID# 0446284780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1124066204
PAC ID by PECOS 0446284780
Professional Enrollment ID I20080718000223
Full Name Isitri Modak
Organization Legal Name PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS
Address 122 W Colorado Blvd
Dallas
TX 75208-2382
Phone Number 2149476700
Gender F
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year 1999
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 3274519293
Number of Group Practice Members 73
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450051 METHODIST DALLAS MEDICAL CENTER

Other Locations

Address Phone Organization
122 W Colorado Blvd, Dallas, TX 75208-2382 2149476700 PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS

Organization Information

Organization Legal Name PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS
Physicians 31

Physicians with the same organization

Name Specialty Organization Address
Shaun Peter Garff Sports Medicine Physician Associates of Southwest Dallas 3500 W Wheatland Rd, Dallas, TX 75237-3460
Sheila A Dougan Nurse Practitioner Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Kecia L Foxworth Obstetrics/gynecology Physician Associates of Southwest Dallas 1441 N Beckley Ave, Dallas, TX 75203-1201
Ronya L Green Family Medicine Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Rebecca R Mckown Obstetrics/gynecology Physician Associates of Southwest Dallas 1441 N Beckley Ave, Dallas, TX 75203-1201
Teresa J Bascom Obstetrics/gynecology Physician Associates of Southwest Dallas 1441 N Beckley Ave, Dallas, TX 75203-1201
Lawrence M Gibbs Family Medicine Physician Associates of Southwest Dallas 3500 W Wheatland Rd, Dallas, TX 75237-3460
Brett A. Johnson Family Medicine Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Michael S Truitt General Surgery Physician Associates of Southwest Dallas 1441 N Beckley Ave, Dallas, TX 75203-1201
Khadija S Kabani Family Medicine Physician Associates of Southwest Dallas 3500 W Wheatland Rd, Dallas, TX 75237-3460

Office Location

Street Address 122 W COLORADO BLVD
City DALLAS
State TX
Zip 75208-2382

Physicians in the same location

Name Specialty Organization Address
Sheila A Dougan Nurse Practitioner Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Ronya L Green Family Medicine Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Brett A. Johnson Family Medicine Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Jerod B Patchin Internal Medicine Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Tenicia W Jones Nurse Practitioner Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Lisa Sebastian Nephrology Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Steven G Bernstein Gynecological Oncology Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Samuel Lifshitz Gynecological Oncology Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Lynda D Howl Nurse Practitioner Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Phillip L Sladek General Surgery Physician Associates of Southwest Dallas 122 W Colorado Blvd, Dallas, TX 75208-2382
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Nimra Sarfaraz Internal Medicine Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Piyush S Lohiya Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Deepa Amberker Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Taryn J Turner Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Hanna Thomas Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Madhavi Mallareddy Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Ajay S Kallam Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Shehpar A Khan Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Phuong M Truong Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Samir K Nangia Nephrology Dallas Renal Group, P.a. 1222 N Bishop Ave, Suite 500, Dallas, TX 75208-1478
Find all physicians in zip 75208

Competitor

Search similar physicians

City DALLAS
Zip Code 75208
Specialty INTERNAL MEDICINE
City + Specialty DALLAS + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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