Avinash Mantha, MD
NPI #1275952731 in Blue Island, Illinois
Provider Information
- NPI Number
- 1275952731
- Entity Type
- Individual
- Name
- Avinash Mantha, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Apr 14, 2014
- Last Updated
- Oct 30, 2018
Practice Location
- Address
- 3046 127TH ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-1827
- Phone
- (708) 377-7920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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