DR. SASHIDARAN MANIKUM MOODLEY MD
NPI 1174885370
Internal Medicine in Deerfield, IL

Q: What is Sashidaran Moodley's NPI number?

The NPI number for Sashidaran Moodley is 1174885370. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Q: What is Sashidaran Moodley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 13, 2012

108 WILMOT RD, DEERFIELD, IL 60015(312) 982-1242 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Aug 15, 2019 (2 updates tracked since 2019).

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About Dr. Sashidaran Manikum Moodley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SASHIDARAN MANIKUM MOODLEY MD (NPI 1174885370) is an individual internal medicine provider in Deerfield, Illinois, licensed in California (A143741) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1174885370

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SASHIDARAN MANIKUM MOODLEYCredential: MD

Location Address108 WILMOT RDDeerfield, IL 60015-5145

Mailing Address108 Wilmot RdDeerfield, IL 60015-5145 · (312) 982-1242

Phone(312) 982-1242

Sole ProprietorNo

Enumeration DateJune 13, 2012

Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1174885370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A143741

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

108 WILMOT RD, Deerfield, IL 60015

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF ILLINOIS MEDICAL, PC

Clinic/Center (Primary Care)