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NPI Code Detail

MEDICARE: AMITA MITAL

MEDICARE:   AMITA  MITAL
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
1207R00000XInternal Medicine PhysicianMD054527LPA

General Provider Information

NPI Number : 1003812843
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMITA MITAL
Provider Business Mailing Address
First Line : 1100 WASHINGTON AVE
Second Line : STE 115
City : CARNEGIE
State : PA
Zip : 15106-3614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 WASHINGTON AVE
Second Line : STE 115
City : CARNEGIE
State : PA
Zip : 15106-3614
Country : US
Telephone Number : 412-279-8940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 03/25/2021

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Directions to “ AMITA MITAL ” Practice Location

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