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Individual
NIRANDRA MAHAMITRA
Active
Individual
NIRANDRA MAHAMITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA082818
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010046054
AMERICHOICE
—
05
—
0141569
—
NJ
01
—
1635355
AETNA
—
01
—
2861061000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
6483065
CIGNA
—
01
—
MA082818
NJ MEDICAL LICENSE
NJ
01
—
P00428381
RR MEDICARE
—
Enumeration date
08/08/2007
Last updated
09/12/2019
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