Individual
DR. DIMITRA MITSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
821 N EUTAW ST, SUITE 308, BALTIMORE, MD 21201-4648
(410) 383-2072
(410) 383-0054
Mailing address
821 N EUTAW ST, SUITE 308, BALTIMORE, MD 21201-4648
(410) 383-2072
(412) 648-6399
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D70785
MD
207RI0200X
Infectious Disease Physician
MT190016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
901901400
—
MD
Enumeration date
07/09/2008
Last updated
01/06/2013
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