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DR. AVICK G MITRA MD NPI 1396750857


NPI Information

NPI: 1396750857
Provider Name: DR. AVICK G MITRA, MD
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

PECOS Registration: Yes

Address:
1025 MOREHEAD MEDICAL DR
SUITE 500, 5TH FLOOR
CHARLOTTE, NC
ZIP 28204
Phone: (704) 355-3149
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DR. Avick G Mitra, MD is a maternal and fetal medicine obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Avick G Mitra, MD NPI is 1396750857. 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:

1025 MOREHEAD MEDICAL DR
SUITE 500, 5TH FLOOR
CHARLOTTE, NC
ZIP 28204-963
Phone: (704) 355-3149
Fax: (704) 355-5891

The NPI 1396750857 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 7/30/2006 and was last updated on 5/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology32018NORTH CAROLINANo
2207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine32018NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00303991MEDICARE PINNORTH CAROLINA
2208933GMEDICARE PINNORTH CAROLINA
3N32018MEDICAIDSOUTH CAROLINA
459819OTHERNORTH CAROLINABCBS NC
5NCC9470193MEDICARE PINNORTH CAROLINA
6C85596MEDICARE UPINNORTH CAROLINA
71396750857MEDICAIDNORTH CAROLINA
88959819MEDICAIDNORTH CAROLINA
9NCC947AMEDICARE PINNORTH CAROLINA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.