Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohamad Mike Modaresi, LSA

Individual provider Surgical Assistant · NPI 1841416740

Mohamad Mike Modaresi, LSA is a Surgical Assistant in Sugar Land, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

4815 Jessica Ct
Sugar Land, TX 77479-5444
Phone: (832) 368-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00285 (TX)

Record details

NPI number1841416740
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESApril 16, 2012

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