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Dr. Asunta T. Moduthagam, MD
Student in an Organized Health Care Education/Training Program in Schaumburg, Illinois
NPI 1154522753

Asunta T. Moduthagam is a Student in an Organized Health Care Education/Training Program based in Schaumburg, IL. Asunta T. Moduthagam practices in Schaumburg, IL and has the professional credentials of MD. The NPI Number for Asunta T. Moduthagam is 1154522753 and holds a License No. 036.126803 (Illinois).

The current practice location address for Asunta T. Moduthagam is 1880 N Roselle Rd, Schaumburg, IL and can be reached out via phone at 847-519-7047.

Location: 1880 N Roselle Rd, Schaumburg, IL, 60195-3197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154522753
Provider Name
Asunta T. Moduthagam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1880 N Roselle Rd, Schaumburg, IL, 60195-3197
Phone Number
847-519-7047
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1880 N Roselle Rd
City
Schaumburg
State
Illinois
Zip
60195-3197
Phone Number
847-519-7047
Fax Number
person
Provider Business Mailing Address Details
Address
1880 N Roselle Rd
City
Schaumburg
State
Illinois
Zip
60195-3197
Phone Number
847-519-7047
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
57-012886 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036.126803 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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