Mantha, Avinash

Mantha, Avinash is an individual health care provider with primary practice located at 3046 127Th St , Blue Island IL 60406-1827. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mantha, Avinash can be contacted via phone (708) 377-7920.

Contact Information

Primary practice address
3046 127Th St Blue Island IL 60406-1827
Phone: (708) 377-7920
Fax: (708) 930-0414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036147326 Illinois

Profile Details

NPI number 1275952731
LBN Legal business name Mantha, Avinash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Oct 30th, 2018 - 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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