SHANTA MATTAI
Psychiatry & Neurology - Neurology
Active
Individual
NPI: 1609974096
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychiatry & Neurology - Neurology | 2084N0400X | Yes | - |
Frequently Asked Questions
NPI 1609974096 is the National Provider Identifier for SHANTA MATTAI, a Psychiatry & Neurology - Neurology provider located in Peoria, IL. This NPI was enumerated on September 20, 2006.
SHANTA MATTAI practices at 100 NE RANDOLPH AVE, Peoria, IL 61606.
Quick Facts
- NPI
- 1609974096
- Type
- Individual
- Enumerated
- Sep 20, 2006
- Last Updated
- Jul 14, 2007
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