PRADEEP MITTA

ALBUQUERQUE, NM
NPI1689942369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  MD2014-0713)
Enumeration Date2011-12-08
Last Update Date2015-05-26
Business Address
Dr. PRADEEP MITTA MD
1100 CENTRAL AVE SE FL 4 PMG HOSPITALIST
ALBUQUERQUE, NM 87106-4930
Phone number: 505-724-6124
Mailing Address
Dr. PRADEEP MITTA MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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