Moduthagam, Asunta T.

Moduthagam, Asunta T. is an sole proprietor health care provider with primary practice located at 1880 N Roselle Rd Suite 208, Schaumburg IL 60195-3197. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Moduthagam, Asunta T. can be contacted via phone (847) 519-7047.

Contact Information

Primary practice address
1880 N Roselle Rd Suite 208 Schaumburg IL 60195-3197
Phone: (847) 519-7047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.126803 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57-012886 Ohio

Profile Details

NPI number 1154522753
LBN Legal business name Moduthagam, Asunta T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Apr 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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