Amitha Madhuri Avasarala, M.D. Valid NPI

Individual provider · General Practice Physician · Maywood, IL

NPI

1104388024

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

036.164758 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2019-04-01

Last updated

2023-05-25