Individual
DEEPAK MITRA
Active
Individual
DEEPAK MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-122249
IL
207R00000X
Internal Medicine Physician
49813
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552920000
—
MN
01
—
MITRADEE
MERCYCARE INSURANCE
WI
01
—
P00684628CG6042
RR MEDICARE
IL
Enumeration date
02/09/2007
Last updated
04/19/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up