Individual
CHANDAN MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 E 29TH ST, DES MOINES, IA 50317-4253
(515) 248-1600
(515) 248-1610
Mailing address
9943 HICKMAN RD, SUITE 105, URBANDALE, IA 50322-5304
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37566
IA
207R00000X
Internal Medicine Physician
Primary
MD-37566
IA
Other
Enumeration date
06/05/2008
Last updated
07/01/2014
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