SHAKUNTALA HANUMANT MAUZO (NPI# 1659626554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659626554 |
| Entity Type | Individual |
| Full Name | SHAKUNTALA HANUMANT MAUZO |
| Credential | MBBS,MD |
| Practice Address |
701 N. First St Springfield IL 62781-0002 |
| Mailing Address |
Po Box 5995 Carol Stream IL 60197-5995 |
| Practice Telephone | 2177883000 |
| Practice Fax Number | 2177885577 |
| Mailing Telephone | 7135005302 |
| Mailing Fax Number | 7135000712 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
036.145741 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
701 N. FIRST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1215111638 | Kacie Jones | Dietitian, Registered | 701 N. First St, Springfield, IL 62781-0001 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| 1497914741 | Ted Robert Clark | Emergency Medicine | 701 N. 1st Street, Springfield, IL 62781 | 2008-06-03 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972550127 | Lewis G Lefer | Pathology | 299 Carew St/lower Level, Life Lab, Springfield, MA 01104 | 2006-05-30 |
| 1538222955 | Lisa Lynne Cole | Pathology | 759 Chestnut St, Springfield, MA 01199-1619 | 2006-12-18 |
| 1528169414 | Jonathan K Freeman | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1043311947 | Luis A Moral | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1912008897 | Qing J Cao | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1992806889 | Katya R Ford | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1124129010 | David L Gang | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1184725087 | Vandita Johari | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1093816993 | John P Hunt | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1073614970 | Rukmini M Kashikar | Pathology | 759 Chestnut St, D1170, Springfield, MA 01199-1619 | 2006-09-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.