Mittra, Robert A

Mittra, Robert A is an individual health care provider with primary practice located at 7760 France Ave S Suite 310, Minneapolis MN 55435-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mittra, Robert A can be contacted via phone (952) 929-1131.

Contact Information

Primary practice address
7760 France Ave S Suite 310 Minneapolis MN 55435-5800
Phone: (952) 929-1131
Fax: (952) 897-1178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 42976 Minnesota

Profile Details

NPI number 1699764456
LBN Legal business name Mittra, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 3rd, 2010 - about 16 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 1699764456 NPPES
Minnesota MEDICAID 717645700
Minnesota MEDICAID 32448600

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