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Modnath Sangroula
Family Medicine Physician in Decatur, Indiana
NPI 1952900250

Modnath Sangroula is a Family Medicine Physician based in Decatur, IN. Modnath Sangroula practices in Decatur, IN. The NPI Number for Modnath Sangroula is 1952900250 and holds a License No. (Indiana).

The current practice location address for Modnath Sangroula is 955 High St Ste 1, Decatur, IN and can be reached out via phone at 260-724-8551 and via fax at 260-728-3858.

Location: 955 High St Ste 1, Decatur, IN, 46733-2361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952900250
Provider Name
Modnath Sangroula
Credential
Provider Entity Type
Individual
Gender
Male
Address
955 High St Ste 1, Decatur, IN, 46733-2361
Phone Number
260-724-8551
Fax Number
260-728-3858
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
955 High St Ste 1
City
Decatur
State
Indiana
Zip
46733-2361
Phone Number
260-724-8551
Fax Number
260-728-3858
person
Provider Business Mailing Address Details
Address
955 High St Ste 1
City
Decatur
State
Indiana
Zip
46733-2361
Phone Number
260-724-8551
Fax Number
260-728-3858
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01089130A (Indiana)
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.
()
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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