DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODNATH SANGROULA

Active Sole Proprietor

MODNATH SANGROULA is a Family Medicine healthcare provider located in DECATUR, Indiana. NPI 1952900250 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DECATUR, IN

Registration Details

NPI Number
1952900250
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2020 (5.8158125978595 yrs)
Last Updated
Sep 8, 2023
License
01089130A (IN)
Sole Proprietor
Yes

Practice Information

Address
955 HIGH ST STE 1
DECATUR, IN, 467332361
Browse IN providers · Browse ZIP 46733
Phone
2607248551
Fax
2607283858
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in DECATUR, IN

Name Credential NPI
DR. KEITH A HARVEY MD 1295718062
MICHAEL E AINSWORTH MD 1629058698
CAMERON V NELSON MD 1700866183
MARK S GRESLA M.D. 1467482034
JESSAMINE A HIPPENSTEEL DO 1457528820
KATHLEEN A. HEIMANN D.O. 1962630426
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.