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NPI Code Detail

MEDICARE: MR. NIRANJAN KUMAR MITTAL MD,FACC

MEDICARE: MR. NIRANJAN KUMAR MITTAL MD,FACC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician162509NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083680003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NIRANJAN KUMAR MITTAL MD,FACC
Provider Business Mailing Address
First Line : 7404 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2704
Country : US
Telephone Number : 718-439-5111
Fax Number : 718-493-6108
Provider Business Practice Location Address
First Line : 7404 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2704
Country : US
Telephone Number : 718-439-5111
Fax Number : 718-493-6108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 04/12/2023

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