Individual
ARCHANA PRASAD KANTETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036174275
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
8266
NE
Other
Enumeration date
06/18/2018
Last updated
04/10/2025
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