MITAS LLC NPI 1659967917

NPI Information

  • NPI: 1659967917
  • Provider Name: MITAS LLC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • :
  • Address: 1191 FORTUNE BLVD STE 2
    SHILOH, IL
    ZIP 62269
  • Phone: (404) 580-8511

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NPI Details

MITAS LLC is an orthopaedic surgery in Shiloh, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MITAS LLC NPI is 1659967917. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1191 FORTUNE BLVD STE 2
SHILOH, IL
ZIP 62269-474
Phone: (404) 580-8511

The provider's authorized official is Swastik Sinha .
The authorized official title is Owner and has the following contact phone number (618) 713-5211.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 9/2/2025.

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
1225100000XPhysical TherapistNo
2207X00000XOrthopaedic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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