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Organization

CHETNA MITAL MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHETNA MITAL M.D. (PRESIDENT)
(513) 867-2622
Entity
Organization

Contact information

Practice address
1010 CEREAL AVE, SUITE 307, HAMILTON, OH 45013
(513) 867-2622
(513) 844-2093
Mailing address
1010 CEREAL AVE STE 103, HAMILTON, OH 45013-2776
(513) 867-2622
(513) 844-2093

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35053073
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0660520
OH
Enumeration date
03/01/2007
Last updated
04/25/2024
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