Provider Demographics
NPI:1730949447
Name:MITRA, SUBHASHIS (MBBS, MD (PATHOLOGY))
Entity type:Individual
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First Name:SUBHASHIS
Middle Name:
Last Name:MITRA
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Gender:M
Credentials:MBBS, MD (PATHOLOGY)
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Mailing Address - Street 1:82 C, IBRAHIMPUR ROAD, FLAT A2
Mailing Address - Street 2:JADAVPUR
Mailing Address - City:KOLKATA
Mailing Address - State:WEST BENGAL
Mailing Address - Zip Code:700032
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RUBY GENERAL HOSPITAL, 576, ANANDAPUR MAIN ROAD
Practice Address - Street 2:GOLPARK, SECTOR I, KASBA
Practice Address - City:KOLKATA
Practice Address - State:WEST BENGAL
Practice Address - Zip Code:700107
Practice Address - Country:IN
Practice Address - Phone:629-082-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ZZ69802207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology