Mitta, Swatantra
Mitta, Swatantra is an individual health care provider with primary practice located at 942A Route 146 , Clifton Park NY 12065-3614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mitta, Swatantra can be contacted via phone (518) 371-8000.Contact Information
Primary practice address
942A Route 146
Clifton Park NY 12065-3614
Phone: (518) 371-8000
Fax: (518) 371-5338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 133074 | New York |
Profile Details
| NPI number | 1871683417 |
|---|---|
| LBN Legal business name | Mitta, Swatantra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Apr 26th, 2022 - about 3 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 | 1871683417 | NPPES |
| New York | MEDICAID | 00492017 |
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