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

DR. SHANTHA MATTHEW MONIPPALLIL, M.D

Active

DR. SHANTHA MATTHEW MONIPPALLIL, M.D is a Adolescent Medicine healthcare provider located in EFFINGHAM, Illinois. NPI 1437151271 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · EFFINGHAM, IL

Registration Details

NPI Number
1437151271
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2005 (21.018432594008 yrs)
Last Updated
Jul 17, 2007
License
036058112 (IL)

Practice Information

Address
1901 S 4TH ST
SAME
EFFINGHAM, IL, 624014187
Browse IL providers · Browse ZIP 62401
Phone
2173477600
Primary Specialty
Adolescent Medicine
207QA0505X
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.