Mitra, Shyamal K
Mitra, Shyamal K is an individual health care provider with primary practice located at 3280 Henderson Dr Ste C , Jacksonville NC 28546-5290. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mitra, Shyamal K can be contacted via phone (910) 915-8450.Contact Information
Primary practice address
3280 Henderson Dr Ste C
Jacksonville NC 28546-5290
Phone: (910) 915-8450
Fax: (888) 745-7026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0035439 | North Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 00-35439 | North Carolina |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 0035439 | North Carolina |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 0035439 | North Carolina |
Profile Details
| NPI number | 1467437079 |
|---|---|
| LBN Legal business name | Mitra, Shyamal K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Aug 2nd, 2023 - about 2 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 | 1467437079 | NPPES |
| North Carolina | Other | 59825 | BCBS OF NC |
| North Carolina | Other | 060030036 | BCBS OF NC |
| North Carolina | MEDICAID | 8959825 | BCBS OF NC |
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