DR. Asunta T. Moduthagam, M.D.
NPI #1154522753 in Schaumburg, Illinois
Provider Information
- NPI Number
- 1154522753
- Entity Type
- Individual
- Name
- DR. Asunta T. Moduthagam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- May 30, 2007
- Last Updated
- Apr 4, 2012
Practice Location
- Address
- 1880 N ROSELLE RD
- Address 2
- SUITE 208
- City
- Schaumburg
- State
- Illinois
- ZIP Code
- 60195-3197
- Phone
- (847) 519-7047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Student in an Organized Health Care Education/Training Program |
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