Individual
MARK MITTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 778-9178
Mailing address
PO BOX 654481, DALLAS, TX 75265-4481
(866) 860-8755
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200300668
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200300668
NC
2085R0204X
Vascular & Interventional Radiology Physician
200300668
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134MR
—
NC
Enumeration date
07/07/2005
Last updated
07/09/2026
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