Individual
MANOJ MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 L ST STE 500, SACRAMENTO, CA 95816-5616
(916) 454-6850
(916) 454-6852
Mailing address
10470 OLD PLACERVILLE RD, STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
A146354
CA
2084N0400X
Neurology Physician
54526
MN
2084N0400X
Neurology Physician
94-7047
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
06/28/2008
Last updated
07/21/2022
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