Pushpa K Mamtani
MD | Pediatrics | Female
Pushpa K Mamtani, MD is a Ottawa, Illinois based Pediatric doctor with medical specialization in
General Pediatrics. Pushpa K Mamtani is also known as
Pushpa G Balasubramanian.
Current practice location of Pushpa K Mamtani is
1614 E Norris Dr, Ottawa, Illinois - 61350-3681. She can be contacted on phone at
815-433-1010 and fax number 815-433-0067.
Pushpa K Mamtani is a sole proprietor of her business.
NPI number (Unique professional ID) for Pushpa K Mamtani is
1376527168 which was assigned by NPPES on 05 Dec, 2005 and it was last updated on 25 Jan, 2023.
Pushpa K Mamtani license number is
4301503653 for Pediatrics (208000000X) in Michigan.
Pushpa K Mamtani is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pushpa K Mamtani basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pushpa K Mamtani |
|---|
| Other Name : | Pushpa G Balasubramanian |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Pushpa K Mamtani address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1614 E Norris Dr
Ottawa, IL, 61350-3681
United States |
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| Phone Number : | 815-433-1010 |
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| Fax Number : | 815-433-0067 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376527168 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2005 |
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| Last Updated On : | 25 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pushpa K Mamtani are as mentioned. Primary taxonomy code for Pushpa K Mamtani, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 36 064091 | IL |
| 208000000X | Pediatrics | Yes | 4301503653 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Pushpa K Mamtani such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01932040 | Other (non-Medicare) | IL | BCBS |
| 036064091 | MEDICAID | IL | |
| E01844 | MEDICARE UPIN | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1614 E Norris Dr
Ottawa, IL, 61350-3681
United States |
|---|
Business Location:
Patients can refer following map for directions to
Pushpa K Mamtani practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.