# DR. BAHAR MITTAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255482394
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 38913 | KY | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 03/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000363598 | BLUESHIELD NUMBER | KY |
| 05 | — | 0118432 | — | OH |
| 05 | — | 64114523 | — | KY |
| 01 | — | P01459741 | RR MEDICARE | KY |