Individual
MEENA MITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CALIFORNIA AVE SW, #300, SEATTLE, WA 98116
(206) 320-3399
(206) 320-5506
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(506) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD26506
OR
207R00000X
Internal Medicine Physician
Primary
MD60482804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22959
—
OR
Enumeration date
01/17/2007
Last updated
08/10/2018
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