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

Avinash Mantha, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275952731

Avinash Mantha, MD is a Student in an Organized Health Care Education/Training Program in Blue Island, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3046 127th St
Blue Island, IL 60406-1827
Phone: (708) 377-7920
Fax: (708) 930-0414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 40 Arch St, Johnson City, NY 13790-2102 — (607) 763-6075

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036147326 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275952731
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESOctober 30, 2018
Mailing address3046 127th St, Blue Island, IL 60406-1827

Other providers in Blue Island