Individual
DR. AMOL MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5445
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
793990
OH
207RN0300X
Nephrology Physician
Primary
207RN0300X
RI
Other
Enumeration date
08/15/2012
Last updated
03/16/2016
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