Individual provider · Type 1 NPI

Mamatha Moodalagiriaiah, MD

Obstetrics Physician · Decatur, IL

NPI number 1891058566 Active

Practice location

1 Memorial Dr, Suite 300
Decatur, IL 62526-6303

Call (217) 872-2400 Map

Fax (217) 875-4680

Mailing address

19266 Tyrone St
Harper Woods, MI 48225-2499

Specialties and licenses

TaxonomyCodeLicense
Obstetrics Physician Primary 207VX0000X036-133305 (IL)

Obstetrics Physician: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

9 other providers at this address

About NPI 1891058566

Mamatha Moodalagiriaiah, MD's National Provider Identifier is 1891058566, issued on Jun 19, 2012. The primary taxonomy on file is Obstetrics Physician (207VX0000X), and the practice location is in Decatur, IL. The record was last updated on Aug 9, 2013.