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

Dr. Latha Balamuniswamy, MD

Individual provider Family Medicine Physician · NPI 1336113992

Dr. Latha Balamuniswamy, MD is a Family Practice in Moline, Illinois. Qualified in 1994, 32 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
32
Licensed in
IA, IL
In the registry since
2006
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

106 19th Ave Ste 103
Moline, IL 61265-3700
Phone: (309) 779-7050
Fax: (309) 764-6269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036087173 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 34452 (IA)

Record details

NPI number1336113992
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESFebruary 5, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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