PAUL D MITNICK MD NPI 1730163411

NPI Information

NPI: 1730163411
Provider Name: PAUL D MITNICK, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
301 S 7TH AVE
STE 355
WEST READING, PA
ZIP 19611
Phone: (610) 376-7365
Get Directions

Paul D Mitnick, MD is a nephrology internal medicine in West Reading, PA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Paul D Mitnick, MD NPI is 1730163411. 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:

301 S 7TH AVE
STE 355
WEST READING, PA
ZIP 19611-410
Phone: (610) 376-7365
Fax: (610) 376-1320

The enumeration date for this NPI number is 12/6/2005 and was last updated on 11/9/2010.

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	207RN0300X	Internal Medicine	Nephrology	MD017057E	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0006072380001	MEDICAID	PENNSYLVANIA
2	087772	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
3	B35382	MEDICARE UPIN	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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