Prodyot K. Mitra, M.D. in Mchenry - Internal Medicine
Prodyot K. Mitra, M.D. - NPI 1477724425
Prodyot K. Mitra, M.D. is a Internal Medicine in Mchenry, Illinois. Prodyot K. Mitra, M.D. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Prodyot K. Mitra, M.D. is 1477724425. The last update date is 2013-10-23.
Prodyot K. Mitra, M.D.'s current location address is 633 Ridgeview Dr, Mchenry, Illinois. You can contact this provider via phone number 8153440621 and fax number 8153440664. The mailing address for Prodyot K. Mitra, M.D. is 633 Ridgeview Dr, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prodyot K. Mitra, M.D. |
|---|---|
| Address | 633 Ridgeview Dr, Mchenry, Illinois |
| Phone Number | 8153440621 |
| Fax Number | 8153440664 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mitra K Prodyot |
| Credentials | M.D. |
| Telephone Number | 8153440621 |
NPI Number Detail
| NPI Number | 1477724425 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2013-10-23 |
Provider Mailing Address Detail
| Address | 633 Ridgeview Dr |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600507012 |
| Phone Number | 8153440621 |
| Fax Number | 8153440664 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36062584 |
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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 |
|---|---|---|---|
| 36052608 | IL | -- | |
| 36062584 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Prodyot K. Mitra, M.D. by the Centers for Medicare & Medicaid Services?
The Prodyot K. Mitra, M.D. has been assigned the NPI (National Provider Identifier) 1477724425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Prodyot K. Mitra, M.D.?
The Prodyot K. Mitra, M.D. is physically situated at 633 Ridgeview Dr, in the city of Mchenry, state of IL, with the postal code 600507012.
What is Prodyot K. Mitra, M.D.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Prodyot K. Mitra, M.D. is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did Prodyot K. Mitra, M.D. receive its 1477724425 assignment from the Centers for Medicare & Medicaid Services?
The Prodyot K. Mitra, M.D. was assigned its 1477724425 on 2008-03-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Prodyot K. Mitra, M.D., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prodyot K. Mitra, M.D., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY