Individual
DR. SANDEEP KUMAR MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
(845) 473-0896
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
237918
NY
207RC0000X
Cardiovascular Disease Physician
Primary
C53097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782896
—
NY
Enumeration date
05/04/2006
Last updated
12/14/2021
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