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Suparna Mantha, MD
Hematology & Oncology Physician in Urbana, Illinois
NPI 1801108279

Suparna Mantha is a Hematology & Oncology Physician based in Urbana, IL and is specialized in Hematology & Oncology. Suparna Mantha practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Suparna Mantha is 1801108279 and holds a License No. 036140720 (Illinois).

The current practice location address for Suparna Mantha is 509 W University Ave, Urbana, IL and can be reached out via phone at 217-383-6636 and via fax at 217-383-3466.

Location: 509 W University Ave, Urbana, IL, 61801-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801108279
Provider Name
Suparna Mantha
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
509 W University Ave, Urbana, IL, 61801-2529
Phone Number
217-383-6636
Fax Number
217-383-3466
Provider Enumeration Date
07/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
509 W University Ave
City
Urbana
State
Illinois
Zip
61801-1645
Phone Number
217-383-6636
Fax Number
217-383-3466
person
Provider Business Mailing Address Details
Address
509 W University Ave
City
Urbana
State
Illinois
Zip
61801-1645
Phone Number
217-383-6636
Fax Number
217-383-3466
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036140720 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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