DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PUSHPA K MAMTANI, MD

Active

PUSHPA K MAMTANI, MD is a Pediatrics healthcare provider located in ROCKFORD, Illinois. NPI 1376527168 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ROCKFORD, IL

Registration Details

NPI Number
1376527168
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2005 (20.647811569412 yrs)
Last Updated
Mar 5, 2025
Licenses
4301503653 (MI)
36 064091 (IL)

Practice Information

Address
5666 E STATE ST
ROCKFORD, IL, 611082425
Browse IL providers · Browse ZIP 61108
Phone
8152262000
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in ROCKFORD, IL

Name Credential NPI
KENDRA M HALL M.D. 1548251432
DR. NIVEDITA KARMAKAR MD 1275515462
DR. THOMAS DANKO MD 1003899196
DR. RAQUEL MALABANAN MD 1326021361
DR. ANSELMA RAMILO MD 1457334419
DR. KAREN PHELAN MD 1801871017
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.