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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 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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