Mahamitra, Nirandra

Mahamitra, Nirandra is an individual health care provider with primary practice located at 504 White Horse Pike , Haddon Heights NJ 08035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mahamitra, Nirandra can be contacted via phone (856) 546-7990.

Contact Information

Primary practice address
504 White Horse Pike Haddon Heights NJ 08035
Phone: (856) 546-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA082818 New Jersey

Profile Details

NPI number 1669663217
LBN Legal business name Mahamitra, Nirandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Sep 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669663217 NPPES
Other P00428381 RR MEDICARE
Other 2861061000 RR MEDICARE
MEDICAID 0141569 RR MEDICARE
Other 010046054 RR MEDICARE
Other MA082818 RR MEDICARE
Other 1635355 RR MEDICARE
Other 6483065 RR MEDICARE

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