Mitra, Swagata
Mitra, Swagata is an individual health care provider with primary practice located at 863 Buttner Pl Ste 103 , Dover DE 19904-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mitra, Swagata can be contacted via phone (302) 734-3331.Contact Information
Primary practice address
863 Buttner Pl Ste 103
Dover DE 19904-2406
Phone: (302) 734-3331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C1-0025007 | Delaware |
Profile Details
| NPI number | 1538721113 |
|---|---|
| LBN Legal business name | Mitra, Swagata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2019 |
| Last updated | Jul 29th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538721113 | NPPES |
| New York | MEDICAID | YJ61240B |
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