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Individual
SHRABANEE MITRA
Active
Individual
SHRABANEE MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177279001
—
TX
01
—
8S6147
BCBS
TX
Enumeration date
07/05/2006
Last updated
08/19/2016
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