Mitra, Amitabha

Mitra, Amitabha is an individual health care provider with primary practice located at 121 S Wilke Rd Ste 111 , Arlington Heights IL 60005-1524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mitra, Amitabha can be contacted via phone (847) 394-1843.

Contact Information

Primary practice address
121 S Wilke Rd Ste 111 Arlington Heights IL 60005-1524
Phone: (847) 394-1843
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036114006 Illinois

Profile Details

NPI number 1811976954
LBN Legal business name Mitra, Amitabha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jun 27th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811976954 NPPES
Illinois MEDICAID 036114006

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