Mitra, Subhashis
Mitra, Subhashis is an individual health care provider with primary practice located at 4650 S Hagadorn Rd Ste 100 , East Lansing MI 48823-5386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mitra, Subhashis can be contacted via phone (517) 353-4830.Contact Information
Primary practice address
4650 S Hagadorn Rd Ste 100
East Lansing MI 48823-5386
Phone: (517) 353-4830
Fax: (517) 355-2134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 4301095914 | Michigan |
Profile Details
| NPI number | 1679763973 |
|---|---|
| LBN Legal business name | Mitra, Subhashis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Jun 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679763973 | NPPES |
| Michigan | MEDICAID | 1679763973 |
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