Individual
DR. MITALI BAKSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 SPRING VALLEY DR, LABORATORY SERVICE 113, HUNTINGTON, WV 25704-9300
(304) 429-6755
(304) 429-0284
Mailing address
2 GUYAN OAKS DR, HUNTINGTON, WV 25705-2144
(304) 736-0096
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18706
WV
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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