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Individual

NITIKA MIMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1807 W SLAUGHTER LN STE 490, AUSTIN, TX 78748-6208
(512) 282-8967
(512) 406-7351
Mailing address
4515 SETON CENTER PKWY STE 215, AUSTIN, TX 78759-5785
(512) 338-3826
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R2018
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371153301
TX
05
371153302
TX
05
371153303
TX
Enumeration date
07/17/2014
Last updated
08/08/2021
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