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Individual
MONALISA M MITRA
Active
Individual
MONALISA M MITRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184283302
—
TX
05
—
184283303
—
TX
Enumeration date
08/30/2006
Last updated
06/01/2022
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