SearchIllinois207VX0000X

Mamatha Moodalagiriaiah, M.D

NPI 1891058566 · on the registry since 2012 · sole proprietor

Practice

Address
1 Memorial Dr
Suite 300
Decatur, IL 62526
Phone
(217) 872-2400
Fax
(217) 875-4680
Organisation at this address
Gregory L. Totel, M.D.,S.C.
Decatur Obgyn Associates, Llc
Carle Health Care Incorporated
Midwest Center For Plastic Surgery
Women'S Health Care Specialists Of Decatur, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
207VX0000X
207VX0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-09

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