Alwarshetty, Mamata M

Alwarshetty, Mamata M is an individual health care provider with primary practice located at 2088 Ogden Ave Suite 160, Aurora IL 60504-4376. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Alwarshetty, Mamata M can be contacted via phone (630) 851-6440.

Contact Information

Primary practice address
2088 Ogden Ave Suite 160 Aurora IL 60504-4376
Phone: (630) 851-6440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036118357 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036118357 Illinois

Profile Details

NPI number 1396712451
LBN Legal business name Alwarshetty, Mamata M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396712451 NPPES
Illinois MEDICAID 036118357
Illinois MEDICAID 0093378

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