Individual
DR. SHIVAM MITAL
Active
Individual
DR. SHIVAM MITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10233300
NJ
208M00000X
Hospitalist Physician
MD464391
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2015
Last updated
04/15/2026
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