Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amitha Madhuri Avasarala, MD

Individual provider General Practice Physician · NPI 1104388024

Amitha Madhuri Avasarala, MD is a General Practice Physician in Maywood, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-5140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Mercy Health Clinic, Pittsburgh, PA 15215-5114 — (412) 232-4065

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036.164758 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104388024
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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