Mittal, Prabhas

Mittal, Prabhas is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Neoplastic Diseases, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mittal, Prabhas can be contacted via phone (414) 805-6800.

Contact Information

Primary practice address
9200 W Wisconsin Ave Neoplastic Diseases Milwaukee WI 53226-3522
Phone: (414) 805-6800
Fax: (414) 805-0618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD00041314 Washington
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 50320 Wisconsin

Profile Details

NPI number 1366476319
LBN Legal business name Mittal, Prabhas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 1st, 2020 - about 6 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 1366476319 NPPES
Washington Other 0164822 L&I
Washington MEDICAID 1366476319 L&I
Washington MEDICAID 8331225 L&I

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