Individual
DR. SUBHASHIS MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 S HAGADORN RD STE 100, EAST LANSING, MI 48823-5386
(517) 353-4830
(517) 355-2134
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-4830
(517) 355-2134
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301095914
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679763973
—
MI
Enumeration date
08/01/2007
Last updated
06/07/2023
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