Individual
NEELUM MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 STARDUST DR, JOHNSTOWN, PA 15904-3066
(814) 248-0968
Mailing address
240 STARDUST DR, JOHNSTOWN, PA 15904-3066
(814) 248-0968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D73848
MD
2085R0202X
Diagnostic Radiology Physician
MT190120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054872300
—
MD
Enumeration date
10/03/2007
Last updated
08/20/2013
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