Individual
DR. MITALI PATNAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 SPRUCE ST FL 4, PHILADELPHIA, PA 19107-6130
(215) 829-3474
(215) 829-5456
Mailing address
800 SPRUCE ST FL 4, PHILADELPHIA, PA 19107-6130
(215) 829-3474
(215) 829-5456
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD455911
PA
Other
Enumeration date
07/16/2012
Last updated
07/16/2020
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