Individual
SONAL DHUPER MITTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 307-6522
Mailing address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 307-6522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01078936A
IN
207R00000X
Internal Medicine Physician
2012020072
MO
207R00000X
Internal Medicine Physician
4301109302
MI
207R00000X
Internal Medicine Physician
T2009006330
MO
Other
Enumeration date
07/02/2009
Last updated
08/17/2023
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