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NPI Code Detail

MEDICARE: NIRANJAN K MITTAL, PHYSICIAN, PLLC

MEDICARE: NIRANJAN K MITTAL, PHYSICIAN, PLLC
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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11Z7734OTHERNJNJ MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811939465
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIRANJAN K MITTAL, PHYSICIAN, PLLC
Provider Business Mailing Address
First Line : 7404 5TH AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2704
Country : US
Telephone Number : 718-439-5111
Fax Number : 866-790-3506
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 : 866-790-3506
Authorized Official
Title or Position : OWNER
Name : NIRANJAN KUMAR MITTAL
Credential : MD
Telephone Number : 718-439-5111
Provider Enumeration Date : 06/11/2006
Last Update Date : 02/07/2022

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Directions to “NIRANJAN K MITTAL, PHYSICIAN, PLLC ” Practice Location

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