Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Asunta T. Moduthagam, MD

Individual provider Family Medicine Physician · NPI 1154522753

Dr. Asunta T. Moduthagam, MD is a Family Practice in Schaumburg, Illinois. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Illinois and Ohio.

Years since qualifying
20
Licensed in
IL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1880 N Roselle Rd Ste 208
Schaumburg, IL 60195-3197
Phone: (847) 519-7047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.126803 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 57-012886 (OH)

Record details

NPI number1154522753
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESApril 4, 2012
Mailing address1880 N Roselle Rd, Suite 208, Schaumburg, IL 60195-3197

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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