Amitha Madhuri Avasarala, MD | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-5140 | |
Not Available |
Full Name | Amitha Madhuri Avasarala |
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Gender | Female |
Speciality | General Practice |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104388024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 036.164758 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
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Amitha Madhuri Avasarala, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Amitha Madhuri Avasarala, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-5140 |
Brandon Forman, DO General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Jeffrey Jack Leya, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Office Of Student Affairs, Luc Stritch Som, Maywood, IL 60153 Phone: 312-231-4666 | |
Brian Powell, General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-3436 | |
Juhyun Lee, General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-0899 | |
Dr. Faith Buchanan, MD General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 202-877-6292 | |
Felix Andres Ferre, General Practice Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |