MAMATHA MOODALAGIRIAIAH

DECATUR, IL
NPI1891058566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: IL  036-133305)
Enumeration Date2012-06-19
Last Update Date2013-08-09
Business Address
Dr. MAMATHA MOODALAGIRIAIAH M.D
1 MEMORIAL DR SUITE 300
DECATUR, IL 62526-6303
Phone number: 217-872-2400
Mailing Address
Dr. MAMATHA MOODALAGIRIAIAH M.D
19266 TYRONE ST
HARPER WOODS, MI 48225-2499
Phone number: 320-309-5583
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