Mittal, Shama Ravi
Mittal, Shama Ravi is an individual health care provider with primary practice located at 14816 Physicians Ln Suite 152, Rockville MD 20850-3944. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mittal, Shama Ravi can be contacted via phone (240) 453-0000.Contact Information
Primary practice address
14816 Physicians Ln Suite 152
Rockville MD 20850-3944
Phone: (240) 453-0000
Fax: (301) 591-4407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D061382 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D061382 | Maryland |
Profile Details
| NPI number | 1508865973 |
|---|---|
| LBN Legal business name | Mittal, Shama Ravi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1508865973 | NPPES |
| Maryland | MEDICAID | 002542700 |
Popular Providers
-
Pittman, Robert Eddy
Indian Health Service 801 Thompson Ave, Suite 300, Rockville MD 20852-1627 -
Merlo, Leonard A
4701 Randolph Rd Ste G10, Rockville MD 20852-2259 -
Passi, Ravi
15245 Shady Grove Rd Suite 130, Rockville MD 20850-3222 -
Thompson, David Herron
1105 Churchview Place , Rockville MD 20854 -
Levine, David Julius
1600 E Gude Dr Suite 200, Rockville MD 20850-1341 -
Christina, James Robert
4701 Randolph Rd Ste 115, Rockville MD 20852-2260 -
Chanales, Alan Stuart
15225 Shady Grove Rd , Rockville MD 20850-3254 -
Kellogg, Patricia Deal
1201 Seven Locks Rd Ste 111, Rockville MD 20854-2957