MAYANK KUMAR MITTAL


Address: 610 N Michigan St Ste 400, South Bend, IN 46601
Phone: 5746478120

MAYANK KUMAR MITTAL (NPI# 1003044702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003044702
Entity Type Individual
Full Name MAYANK KUMAR MITTAL
Credential MD
Practice Address 610 N Michigan St Ste 400
South Bend
IN 46601
Mailing Address 710 N Niles Ave
South Bend
IN 46617-1924
Practice Telephone 5746478120
Practice Fax Number 5746478111
Mailing Telephone 5746471610
Mailing Fax Number 5742376069
Enumeration Date 2009-07-01
Last Update Date 2018-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine T2009005450 MO Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301109220 MI Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
01078863A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE PTAN 257270011 01
IN MEDICARE PTAN 565800028 01
IN 300004379 05

Office Location

Street Address 610 N MICHIGAN ST STE 400
City SOUTH BEND
State IN
Zip Code 46601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063419968 John P Katsaropoulos Internal Medicine 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2005-07-07
1841843000 Brianne Elizabeth Mahone Nurse Practitioner 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2019-07-17
1588135057 Andrea M Ginter Nurse Practitioner 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2018-12-10
1023549052 Diane Rene Sharkey Registered Nurse 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2017-03-22
1326380247 Scott David Hurley Internal Medicine 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2013-03-18
1558506667 Daniel Rockwell Tom Nurse Practitioner 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2008-12-04
1366404782 Deepak N Gaba Internal Medicine 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2006-04-03
1255327102 Szabolcs Szabo Internal Medicine 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2005-09-26
1558357749 Lyn M Stevens Nurse Practitioner 610 N Michigan St Ste 400, South Bend, IN 46601-1081 2005-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447610449 David Thomas Hearing Instrument Specialist 808 S Michigan St., South Bend, IN 46601 2016-03-03
1285072454 Kevin Francis Cumper Internal Medicine 621 Memorial Dr Ste 624, South Bend, IN 46601 2013-06-11
1952605560 Robert Lusk Bonham Dentist 1222 L.w.e., So. Bend, IN 46601 2010-12-23
1649580911 Daniel Scott Debrule Psychologist 211 W. Washington Street, Suite 2311, South Bend, IN 46601 2010-10-20
1528390770 Luke Alfred White Internal Medicine 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 2010-02-12
1548497837 Tmg Home Health Care Home Health 108 N Main St #305, South Bend, IN 46601 2009-06-15
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
Find all providers in zip 46601

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710485594 Optimal Health Network of Indiana LLC Internal Medicine 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 2018-01-26
1205275948 Benjamin Thomas Maatman Internal Medicine 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 2013-06-16
1730389586 Akhtar Parvaiz Md Internal Medicine 1951 W 45th Ave, Griffith, IN 46319-3703 2007-07-20
1225058787 William E Lehmkuhler, M.d. P.C. Internal Medicine 950 Memorial Dr, Jasper, IN 47546-2625 2006-07-20
1326073586 Srinivasarao Manchikalapudi Internal Medicine 2109 Green Valley Rd, New Albany, IN 47150 2006-07-12
1548233158 Kingsley Annan Internal Medicine 1928 S Dixon Rd, Kokomo, IN 46902-7302 2006-02-13
1194724377 Eric F Schulte Internal Medicine 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 2005-07-19
1386283281 Seyal Cardiology LLC Internal Medicine 1455 Cedar St Ste D, Clarksville, IN 47129-7700 2019-12-26
1710440839 1st Choice Cardiovascular Associates LLC Internal Medicine 701 Superior Ave Ste J, Munster, IN 46321-4038 2019-04-08
1972065415 Cind Care of In II, LLC Internal Medicine 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 2019-04-03
Find all providers with the same taxonomy

Competitor

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City SOUTH BEND
Zip Code 46601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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