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Banti Mahanta, MD
Diagnostic Radiology Physician in Alton, Illinois
NPI 1790745297

Banti Mahanta is a Diagnostic Radiology Physician based in Saint Louis, IL and is specialized in Diagnostic Radiology. Banti Mahanta practices in Alton, IL and has the professional credentials of MD. The NPI Number for Banti Mahanta is 1790745297 and holds a License No. 35978 (Illinois).

The current practice location address for Banti Mahanta is 1 Saint Anthonys Way, Alton, IL and can be reached out via phone at 618-465-4520. You can also correspond with Banti Mahanta through the mailing address at PO BOX 500730, SAINT LOUIS, MO - 63150-0730 (mailing address contact number: 303-465-0401).

Location: 1 Saint Anthonys Way, Alton, IL, 63150-0730
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Provider Profile Details
NPI Number
1790745297
Provider Name
Banti Mahanta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Saint Anthonys Way, Alton, IL, 63150-0730
Phone Number
618-465-4520
Fax Number
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036056611-1 05 IL
300029507 01 IL RAILROAD MEDICARE
203599915 05 MO
institution
Provider Business Practice Location Address Details
Address
1 Saint Anthonys Way
City
State
Zip
62002-4568
Phone Number
618-465-4520
Fax Number
person
Provider Business Mailing Address Details
Address
1 Saint Anthonys Way
City
State
Zip
62002-4568
Phone Number
618-465-4520
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
35978 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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