Mitra, Himal

Mitra, Himal is an individual health care provider with primary practice located at 43 Garrison Rd , Brookline MA 02445-4445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mitra, Himal can be contacted via phone (617) 277-8107.

Contact Information

Primary practice address
43 Garrison Rd Brookline MA 02445-4445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 54792 Massachusetts

Profile Details

NPI number 1992778609
LBN Legal business name Mitra, Himal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Apr 2nd, 2012 - about 12 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 1992778609 NPPES
Massachusetts Other M18517 BLUE CROSS/BLUE SHIELD

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