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Individual

DR. MAMATA M ALWARSHETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036118357
IL
207RI0011X
Interventional Cardiology Physician
Primary
036118357
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0093378
NJ
05
036118357
IL
Enumeration date
03/07/2006
Last updated
03/27/2020
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