Mantha, Suparna
Mantha, Suparna is an individual health care provider with primary practice located at 509 W University Ave , Urbana IL 61801-1645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Mantha, Suparna can be contacted via phone (217) 383-6636.Contact Information
Primary practice address
509 W University Ave
Urbana IL 61801-1645
Phone: (217) 383-6636
Fax: (217) 383-3466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036140720 | Illinois |
Profile Details
| NPI number | 1801108279 |
|---|---|
| LBN Legal business name | Mantha, Suparna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2010 |
| Last updated | Sep 30th, 2016 - about 9 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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