Individual
THOMAS E MITORAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
021345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006746080
—
VA
01
—
042029
ANTHEM
VA
01
—
123498
BLUE CROSS TN
TN
05
—
3060577
—
TN
Enumeration date
05/12/2006
Last updated
02/17/2025
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