DEEPAK MITAL M.D. NPI 1720024219

NPI Information

NPI: 1720024219
Provider Name: DEEPAK MITAL, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4400 W 95TH ST STE 112
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-7100
Get Directions

Deepak Mital, M.D. is a transplant surgery in Oak Lawn, IL with 41 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Deepak Mital, M.D. NPI is 1720024219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4400 W 95TH ST STE 112
OAK LAWN, IL
ZIP 60453-657
Phone: (708) 684-7100
Fax: (708) 684-7130

The NPI 1720024219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		036-087116	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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