Mittal, Mayank Kumar
Mittal, Mayank Kumar is an individual health care provider with primary practice located at 610 N Michigan St Ste 400 , South Bend IN 46601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mittal, Mayank Kumar can be contacted via phone (574) 647-8120.Contact Information
Primary practice address
610 N Michigan St Ste 400
South Bend IN 46601
Phone: (574) 647-8120
Fax: (574) 647-8111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T2009005450 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301109220 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01078863A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01078863A | Indiana |
Profile Details
| NPI number | 1003044702 |
|---|---|
| LBN Legal business name | Mittal, Mayank Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Apr 28th, 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 | 1003044702 | NPPES |
| Indiana | MEDICAID | 300004379 |
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