Individual ProviderModar AlomInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5700 Granite Pkwy Ste 200, Plano, TX 75024-6623(618) 604-4551(516) 643-8781PECOS EnrollmentBased on the most recent information from CMS, provider Modar Alom is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1346695624Provider TypeIndividualFull NameAlom, ModarCredentialM.B.B.SGenderMaleSole ProprietorYesEnumeration Date4/25/2016Last Updated8/16/2022Contact InformationPractice LocationPractice Address5700 Granite Pkwy Ste 200, Plano, TX 75024-6623Phone(618) 604-4551FaxUnlisted FaxMailing LocationMailing Address1500 Preston Rd Apt 2513, Plano, TX 75093-5133Phone(516) 643-8781FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseT7150TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense35.135447Ohio