Mitter, Ajay

Mitter, Ajay is an individual health care provider with primary practice located at 1055 Ada St , San Antonio TX 78223-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mitter, Ajay can be contacted via phone (210) 358-5515.

Contact Information

Primary practice address
1055 Ada St San Antonio TX 78223-1703
Phone: (210) 358-5515
Fax: (210) 358-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 19239 West Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 191526 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X J8318 Texas

Profile Details

NPI number 1174587307
LBN Legal business name Mitter, Ajay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jun 5th, 2024 - about 6 months 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 1174587307 NPPES
Texas Other 80563Y BLUE CROSS
Texas MEDICAID 031090601 BLUE CROSS
Texas MEDICAID 143126402 BLUE CROSS
Texas Other 8F7720 BLUE CROSS

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