AVINASH MANTHA, MD

Family Medicine

Active Individual
NPI: 1275952731

Practice Address

3046 127TH ST
Blue Island, IL 60406

Phone: (708) 377-7920

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes 036147326 (IL)

Frequently Asked Questions

NPI 1275952731 is the National Provider Identifier for AVINASH MANTHA, MD, a Family Medicine provider located in Blue Island, IL. This NPI was enumerated on April 14, 2014.
AVINASH MANTHA, MD practices at 3046 127TH ST, Blue Island, IL 60406.

Quick Facts

NPI
1275952731
Type
Individual
Enumerated
Apr 14, 2014
Last Updated
Oct 30, 2018

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