Individual provider · Type 1 NPI

Nadhia Marie Manthuruthil

Medical Physician Assistant · Rockford, IL

NPI number 1780593723 Active

Practice location

1340 Charles St Ste 300
Rockford, IL 61104-2200

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1780593723

Nadhia Marie Manthuruthil's National Provider Identifier is 1780593723, issued on Sep 4, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockford, IL. The record was last updated on Oct 20, 2026.