Mittal, Manoj K

Mittal, Manoj K is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Emergency Med, Philadelphia PA 19104-4319. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Mittal, Manoj K can be contacted via phone (215) 590-1944.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Emergency Med Philadelphia PA 19104-4319
Phone: (215) 590-1944
Fax: (215) 590-4454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD423827 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD423827 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD423827 Pennsylvania

Profile Details

NPI number 1316968167
LBN Legal business name Mittal, Manoj K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 5th, 2013 - about 11 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 1316968167 NPPES
Pennsylvania MEDICAID 101408400
Pennsylvania MEDICAID 0083071

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