Provider Demographics
NPI:1942590021
Name:MITTA, VINOD PRADEEPKUMAR (MD, MPH)
Entity type:Individual
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First Name:VINOD
Middle Name:PRADEEPKUMAR
Last Name:MITTA
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2093 PHILADELPHIA PIKE # 8384
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-2424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 GREENWICH ST FL 29
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2381
Practice Address - Country:US
Practice Address - Phone:310-227-5687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2764692083P0901X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine