Dr. Ajit Kumar Modak , MD
General Practice • Cedar Park, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ajit Modak has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ajit Modak, MD was a registered General Practice practicing in Cedar Park, TX. Throughout an active medical career spanning 6 years, Dr. Modak provided care at the practice location at 2904 OAKWOOD GLEN DR until profile deactivation on 2018-03-09.
Practice Location & Contact Primary Location
2904 Oakwood Glen Dr
Cedar Park, TX 786135123
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Cedar Park, TX
Practicing in Cedar Park, TX (1183 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 09, 2018
NPI status registered as active in NPPES database
Registered at 2904 OAKWOOD GLEN DR, CEDAR PARK, TX 786135123 (Tel: 5122495393)
Registered at 2904 OAKWOOD GLEN DR, CEDAR PARK, TX 786135123 (Tel: 5122495393)
Recorded as AJIT MODAK, M.D
General Practice (License #E6850 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2904 Oakwood Glen Dr
Cedar Park, TX 786135123
Phone: 5122495393
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