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Individual
DR. AVI MAZUMDAR
Active
Individual
DR. AVI MAZUMDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2002021169
MO
2085N0700X
Neuroradiology Physician
036113885
IL
2085R0202X
Diagnostic Radiology Physician
036113885
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036113885
IL
Other
Enumeration date
12/27/2006
Last updated
01/22/2018
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