Mitra, Raman L.

Mitra, Raman L. is an individual health care provider with primary practice located at 610 N Michigan St Suite 400, South Bend IN 46601-1077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Mitra, Raman L. can be contacted via phone (574) 647-8120.

Contact Information

Primary practice address
610 N Michigan St Suite 400 South Bend IN 46601-1077
Phone: (574) 647-8120
Fax: (574) 647-8111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01045628A Indiana

Profile Details

NPI number 1528062221
LBN Legal business name Mitra, Raman L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 26th, 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 1528062221 NPPES
Indiana MEDICAID 200102610

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