Individual
DR. MAMATA M ALWARSHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2088 OGDEN AVE, SUITE 160, AURORA, IL 60504-4376
(630) 851-6440
Mailing address
2088 OGDEN AVE STE 160, AURORA, IL 60504-4383
(630) 851-6440
(630) 851-7001
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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