Search › Illinois › 207Q00000X
Asunta Moduthagam, M.D
NPI 1154522753 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1880 N Roselle Rd
Suite 208
Schaumburg, IL 60195 - Phone
- (847) 519-7047
- Organisation at this address
- Joseph W Mitchell Jr. Dds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois