IndividualActive
Amitha Avasarala, M.D.
NPI 1104388024 · General Practice Physician · Maywood, IL
Provider details
- NPI number
- 1104388024
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036.164758 (IL)
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.