| NPI | 1043947286 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2022-08-08 |
| Last Updated | 2023-07-20 |
| Authorized Official | Amit Mittal Owner Phone: 6306322648 |
| Mailing Address | 15655 37th Ave N Ste 100 Plymouth, MN 55446-4003 United States Phone: (630) 632-2648 | Fax: (612) 230-8769 📍 View Map |
| Primary Practice Address | 15655 37th Ave N Ste 100 Plymouth, MN 55446-4003 United States Phone: (630) 632-2648 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | — | — |
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About NPI 1043947286
Mittal Dermatology Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1043947286. The primary specialty listed is Dermatology. The organization is located in Plymouth, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-08-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043947286?
NPI 1043947286 belongs to Mittal Dermatology Pa, a Dermatology in Plymouth, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043947286 active?
The current status of NPI 1043947286 in the NPPES registry is Active. The record was last updated on 2023-07-20.
What specialty is NPI 1043947286?
NPI 1043947286 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043947286?
You can verify NPI 1043947286 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043947286?
The primary practice address on file for NPI 1043947286 is 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043947286 issued?
NPI 1043947286 was first issued (enumerated) on 2022-08-08. The NPPES record was last updated on 2023-07-20.
Practice Location Map
Mittal Dermatology Pa is located at 15655 37th Ave N Ste 100, Plymouth, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mittal Dermatology Pa. All records sourced from the CMS NPPES registry.