Individual
AMISHA KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 W KENWOOD AVE, DECATUR, IL 62526-4371
(217) 872-3800
(217) 872-0849
Mailing address
PO BOX 19656, SPRINGFIELD, IL 62794-9656
(217) 545-8853
(217) 545-0828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-056836
IL
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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