Mittal, Basant Kumar

Mittal, Basant Kumar is an individual health care provider with primary practice located at 511 Pierce St , Kingston PA 18704-5731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mittal, Basant Kumar can be contacted via phone (570) 243-3300.

Contact Information

Primary practice address
511 Pierce St Kingston PA 18704-5731
Phone: (570) 243-3300
Fax: (570) 338-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-039080-L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-039080-L Pennsylvania

Profile Details

NPI number 1558427377
LBN Legal business name Mittal, Basant Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558427377 NPPES
Pennsylvania MEDICAID 102576296

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