Individual
ANUJ H MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
(541) 789-4281
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090915
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD165996
OR
207RP1001X
Pulmonary Disease Physician
MD165996
OR
Other
Enumeration date
02/20/2008
Last updated
10/20/2020
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