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Dr. Latha Balamuniswamy, MD
Family Medicine Physician in Moline, Illinois
NPI 1336113992

Latha Balamuniswamy is a Family Medicine Physician based in Moline, IL. Latha Balamuniswamy practices in Moline, IL and has the professional credentials of MD. The NPI Number for Latha Balamuniswamy is 1336113992 and holds a License No. 036087173 (Illinois).

The current practice location address for Latha Balamuniswamy is 106 19Th Ave, Moline, IL and can be reached out via phone at 309-779-7050 and via fax at 309-764-6269.

Location: 106 19Th Ave, Moline, IL, 61265-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336113992
Provider Name
Latha Balamuniswamy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
106 19Th Ave, Moline, IL, 61265-3700
Phone Number
309-779-7050
Fax Number
309-764-6269
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036087173 01 BCILLINOIS
0575423 05 IA
036087173002 05 IL
1336113992 05 IA
1575423 05 IA
80193932 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
106 19Th Ave
City
Moline
State
Illinois
Zip
61265-3700
Phone Number
309-779-7050
Fax Number
309-764-6269
person
Provider Business Mailing Address Details
Address
106 19Th Ave
City
Moline
State
Illinois
Zip
61265-3700
Phone Number
309-779-7050
Fax Number
309-764-6269
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036087173 (Illinois)
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.
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