# ROBERT MODUGNO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528072733
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | 029496 | GA | — |
| 207VX0000X | Obstetrics Physician | 029496 | GA | — |
| 207VX0000X | Obstetrics Physician | 16437 | NV | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 02/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000453274H | — | GA |
| 05 | — | 000453274S | — | GA |
| 01 | — | 0762454 | CIGNA | NC |
| 01 | — | 1439X | BLUE CROSS BLUE SHIELD | NC |
| 01 | — | 202I164773 | MEDICARE | GA |
| 01 | — | 3047867 | UNITED HEALTHCARE | GA |
| 01 | — | 4134092 | AETNA | GA |
| 05 | — | 5905360 | — | NC |
| 01 | — | 6581 | COVENTRY | GA |
| 01 | — | P00605634 | RAILROAD MEDICARE | NC |