Individual provider · Type 1 NPI

Suparna Mantha, MD

Hematology & Oncology Physician · Urbana, IL

NPI number 1801108279 Active

Practice location

509 W University Ave
Urbana, IL 61801-1645

Call (217) 383-6636 Map

Fax (217) 383-3466

Mailing address

611 W Park St, Bwpc
Urbana, IL 61801-2529

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X036140720 (IL)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1801108279

Suparna Mantha, MD's National Provider Identifier is 1801108279, issued on Jul 13, 2010. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Urbana, IL. The record was last updated on Sep 30, 2016.