| Banti Mahanta, MD | |
|
1 Saint Anthonys Way, Alton, IL 62002-4568 | |
| (618) 465-4520 | |
| Not Available |
| Full Name | Banti Mahanta |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1 Saint Anthonys Way, Alton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790745297 | NPI | - | NPPES |
| 036056611-1 | Medicaid | IL | |
| 300029507 | Other | IL | RAILROAD MEDICARE |
| 203599915 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35978 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036056611 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Banti Mahanta, MD Po Box 500730, Saint Louis, MO 63150-0730 Ph: (303) 465-0401 | Banti Mahanta, MD 1 Saint Anthonys Way, Alton, IL 62002-4568 Ph: (618) 465-4520 |
Dr. James V. Piephoff Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 915 E 5th St, Alton, IL 62002 Phone: 618-463-5624 Fax: 618-463-5620 | |
David Robert Huyette, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-4520 | |
Samuel J Essma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton Memorial Hospital, Alton, IL 62002 Phone: 618-463-7415 Fax: 314-821-2180 | |
Edward F Ragsdale, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: One Medical Drive, Alton Memorial Hospital, Alton, IL 62002 Phone: 618-463-7415 Fax: 314-821-2180 | |
Gino Diiorio, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-4520 | |
Ronald P Levy, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-4520 |