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Contact Information

RAMAN L MITRA, MD
610 N MICHIGAN ST
SUITE 400
SOUTH BEND, IN46601-1077
 Phone: 574-647-8120
 Fax: 574-647-8111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAMAN L MITRA · (Male)

NPI Number 1528062221
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 07/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01045628A
  • IN Medicaid 200102610
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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