SUPARNA MANTHA

URBANA, IL
NPI1801108279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: IL  036140720)
Enumeration Date2010-07-13
Last Update Date2016-09-30
Business Address
-- SUPARNA MANTHA M.D.
509 W UNIVERSITY AVE
URBANA, IL 61801-1645
Phone number: 217-383-6636
Mailing Address
-- SUPARNA MANTHA M.D.
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6941
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