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DR. RAJ R MITTAL M.D. NPI 1548224306


NPI Information

NPI: 1548224306
Provider Name: DR. RAJ R MITTAL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6419 W 87TH ST
SUITE 1
OAK LAWN, IL
ZIP 60453
Phone: (708) 233-5636
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DR. Raj R Mittal, M.D. is a specialist in Oak Lawn, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Raj R Mittal, M.D. NPI is 1548224306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6419 W 87TH ST
SUITE 1
OAK LAWN, IL
ZIP 60453-072
Phone: (708) 233-5636
Fax: (708) 233-5649

The enumeration date for this NPI number is 4/17/2006 and was last updated on 7/8/2007.


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
1174400000XSpecialistILLINOISYes

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
1757201MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2D16181MEDICARE UPINILLINOIS

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

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.