Individual
SANGITHAN J MOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18099 LORAIN AVE, SUITE 345, CLEVELAND, OH 44111-5610
(216) 476-7828
(216) 476-4069
Mailing address
18099 LORAIN AVE, SUITE 345, CLEVELAND, OH 44111-5610
(216) 476-7828
(216) 476-4069
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35053121
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0612180
—
OH
Enumeration date
05/18/2006
Last updated
05/11/2009
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