Individual
TANISI AMIT MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
525 N KEENE ST, COLUMBIA, MO 65201-8367
(573) 882-7903
(573) 884-4607
Mailing address
525 N KEENE ST, COLUMBIA, MO 65201-8367
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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