Individual
SANJAY MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 ROCK MERITT AVENUE, FORT LIBERTY, NC 28310-4433
(910) 643-9484
(910) 907-7956
Mailing address
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERITT AVENUE, FORT LIBERTY, NC 28310-0001
(910) 907-6000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200301148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913435
—
NC
Enumeration date
07/21/2005
Last updated
08/15/2024
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