Shanta D. Mattai is a neurology psychiatry neurology in Peoria, IL with 25 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Shanta D. Mattai NPI is 1609974096. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1999
The provider's business location address is:
100 NE RANDOLPH AVE
PEORIA, IL
ZIP 61606-919
Phone: (309) 624-8500
Fax: (309) 655-8552
The NPI 1609974096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/14/2007.