Individual
DR. SAMEER MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2708
(215) 590-2715
Mailing address
100 E PENN SQ FL 9, PHILADELPHIA, PA 19107-3377
(267) 425-9538
(267) 425-9553
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD467311
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
06/25/2020
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