Dr SHAKUNTALA H MAUZO is a female medical professional, specializing in Pathology. She graduated in 2006.
PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD
701 N 1ST ST
SPRINGFIELD
IL
627810001
Tel: 2177883000
| Npi | 1659626554 |
| Pac Id | 9436424140 |
| Professional Enrollment Id | I20180627002226 |
| Last Name | MAUZO |
| First Name | SHAKUNTALA |
| Middle Name | H |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD |
| Group Practice Pac Id | 6103813449 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 701 N 1ST ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 627810001 |
| Phone Number | 2177883000 |
| Hospital Affiliation Ccn 1 | 140148 |
| Hospital Affiliation Lbn 1 | MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 140058 |
| Hospital Affiliation Lbn 2 | PASSAVANT AREA HOSPITAL |
| Hospital Affiliation Ccn 3 | 141339 |
| Hospital Affiliation Lbn 3 | TAYLORVILLE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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