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Dr. Avi Mazumdar, MD
Vascular & Interventional Radiology Physician in Winfield, Illinois
NPI 1760547889

Avi Mazumdar is a Vascular & Interventional Radiology Physician based in Winfield, IL and is specialized in Vascular & Interventional Radiology. Avi Mazumdar practices in Winfield, IL and has the professional credentials of MD. The NPI Number for Avi Mazumdar is 1760547889 and holds a License No. 2002021169 (Illinois).

The current practice location address for Avi Mazumdar is 25 N Winfield Rd, Winfield, IL and can be reached out via phone at 630-933-2113 and via fax at 630-933-4520.

Location: 25 N Winfield Rd, Winfield, IL, 60190-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760547889
Provider Name
Avi Mazumdar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25 N Winfield Rd, Winfield, IL, 60190-1295
Phone Number
630-933-2113
Fax Number
630-933-4520
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00762032 01 IL RR MEDICARE (INDIVIDUAL)
206147 01 IL MEDICARE PTAN (GROUP)
207599606 05 MO
036113885 05 IL
K35062 01 IL MEDICARE PTAN (INDIVIDUAL)
institution
Provider Business Practice Location Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-2113
Fax Number
630-933-4520
person
Provider Business Mailing Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-2113
Fax Number
630-933-4520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
036113885 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
036113885 (Illinois)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036113885 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
2002021169 (Missouri)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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