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Individual

DR. KUNAL MITRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
970 E WASHINGTON ST STE 2F, MEDINA, OH 44256
(330) 723-7999
Mailing address
970 E WASHINGTON ST STE 2F, MEDINA, OH 44256-2181
(330) 723-7999
(330) 764-9907

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35052774M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0709559
OH
Enumeration date
10/04/2006
Last updated
01/02/2019
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