Assadi-Khansari, Mitra
Assadi-Khansari, Mitra is an individual health care provider with primary practice located at 200 Hygeia Dr Ste 1420, Newark DE 19713-2049. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Assadi-Khansari, Mitra can be contacted via phone (302) 623-3017.Contact Information
Primary practice address
200 Hygeia Dr Ste 1420
Newark DE 19713-2049
Phone: (302) 623-3017
Fax: (302) 266-9962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | C1-0013230 | Delaware |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C1-0013230 | Delaware |
Profile Details
| NPI number | 1205917952 |
|---|---|
| LBN Legal business name | Assadi-Khansari, Mitra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jan 31st, 2023 - about last year |
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 | 1205917952 | NPPES |
| New Jersey | Other | 0064051000 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | MEDICAID | 7712201 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 1010223 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 0342325 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 1883383 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | HORIZON NJ HEALTH | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 18376 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 018376 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 3K5933 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | P2182793 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 20495 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | CA0000306 | AMERIHEALTH/KEYSTONE/IBC |
| New Jersey | Other | 3009843 | AMERIHEALTH/KEYSTONE/IBC |
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