Individual
VIJAY MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
604 LEVERKUHN ST, HOUSTON, TX 77007-5744
(814) 244-7792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199300
PA
2085R0202X
Diagnostic Radiology Physician
Primary
Q8109
TX
Other
Enumeration date
06/25/2011
Last updated
07/21/2022
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