Organization
ADULT MEDICINE CLINIC OF BLYTHEVILLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALENDER MITTAL M.D. (PRESIDENT)
(870) 762-5800
Entity
Organization
Contact information
Practice address
519 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 762-5800
(870) 762-5801
Mailing address
PO BOX 405, BLYTHEVILLE, AR 72316-0405
(870) 762-5800
(870) 762-5801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2710
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141358001
—
AR
05
—
161250002
—
AR
01
—
19103000000
QUALCHOICE
AR
01
—
9360340
PHCS
AR
01
—
DE9450
RAILROAD MEDICARE
AR
01
—
P00326909
RAILROAD MEDICARE
AR
Enumeration date
05/06/2006
Last updated
04/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us