Deepak Mitra is a Internal Medicine in Mchenry, Illinois. Deepak Mitra practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Deepak Mitra is 1114068467. The last update date is 2022-04-19.
Deepak Mitra's current location address is 633 Ridgeview Dr, Mchenry, Illinois. You can contact this provider via phone number 8153442760 and fax number 8153440664. The mailing address for Deepak Mitra is 633 Ridgeview Dr, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deepak Mitra |
|---|---|
| Address | 633 Ridgeview Dr, Mchenry, Illinois |
| Phone Number | 8153442760 |
| Fax Number | 8153440664 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114068467 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2022-04-19 |
Provider Mailing Address Detail
| Address | 633 Ridgeview Dr |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600507012 |
| Phone Number | 8153442760 |
| Fax Number | 8153440664 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 49813 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 552920000 | MN | -- | |
| MITRADEE | WI | MERCYCARE INSURANCE | |
| P00684628CG6042 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Deepak Mitra by the Centers for Medicare & Medicaid Services?
The Deepak Mitra has been issued the NPI (National Provider Identifier) 1114068467. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Deepak Mitra's physical address?
The Deepak Mitra is physically located at 633 Ridgeview Dr, in the city of Mchenry, IL, with the postal code 600507012.
What is Deepak Mitra's area of expertise and its corresponding taxonomy classification?
The Deepak Mitra's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1114068467 assigned to Deepak Mitra?
The Deepak Mitra was issued its 1114068467 on 2007-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Deepak Mitra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Deepak Mitra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-19.