person
Amitha Madhuri Avasarala, MD
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1104388024

Amitha Madhuri Avasarala is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. Amitha Madhuri Avasarala practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Amitha Madhuri Avasarala is 1104388024 and holds a License No. 036.164758 (Illinois).

The current practice location address for Amitha Madhuri Avasarala is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-5140. You can also correspond with Amitha Madhuri Avasarala through the mailing address at 2160 S 1ST AVE, MAYWOOD, IL - 60153-3328 (mailing address contact number: ).

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
person
Provider Profile Details
NPI Number
1104388024
Provider Name
Amitha Madhuri Avasarala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-5140
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
708-216-5140
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
708-216-5140
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
036.164758 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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