PUSHPA MAMTANI, MD
Pediatrics
Active
Individual
NPI: 1376527168
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 36 064091 (IL) |
Frequently Asked Questions
NPI 1376527168 is the National Provider Identifier for PUSHPA MAMTANI, MD, a Pediatrics provider located in Rockford, IL. This NPI was enumerated on December 5, 2005.
PUSHPA MAMTANI, MD practices at 5666 E STATE ST, Rockford, IL 61108.
Quick Facts
- NPI
- 1376527168
- Type
- Individual
- Enumerated
- Dec 5, 2005
- Last Updated
- Mar 5, 2025
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