Mistry, Kshitij P
Mistry, Kshitij P is an individual health care provider with primary practice located at 1001 Blythe Blvd Medical Center Plaza, Suite 200, Charlotte NC 28203-5866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Mistry, Kshitij P can be contacted via phone (704) 381-8840.Contact Information
Primary practice address
1001 Blythe Blvd Medical Center Plaza, Suite 200
Charlotte NC 28203-5866
Phone: (704) 381-8840
Fax: (704) 381-8848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2004-01098 | North Carolina |
Profile Details
| NPI number | 1548272107 |
|---|---|
| LBN Legal business name | Mistry, Kshitij P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 29th, 2016 - about 8 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 | 1548272107 | NPPES |
| North Carolina | MEDICAID | 1548272107 | |
| North Carolina | MEDICAID | Q0109C | |
| North Carolina | Other | 136VH | |
| North Carolina | MEDICAID | 79136VH |
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