MANOJ K MITTAL (NPI# 1720172737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720172737 |
| Entity Type | Individual |
| Full Name | MANOJ K MITTAL |
| Credential | M.D. |
| Practice Address |
2061 Fairview Avenue Easton PA 18042 |
| Practice Telephone | 6105599330 |
| Practice Fax Number | 6105597300 |
| Mailing Telephone | 6105599330 |
| Mailing Fax Number | 6105597300 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD043211E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01487850 | 05 | |
| NJ | 6291902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528220720 | Manoj Mittal | Psychiatry & Neurology | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2008-06-28 |
| 1316968167 | Manoj K Mittal | Emergency Medicine | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Emergency Med, Philadelphia, PA 19104-4319 | 2006-07-21 |
| 1972520708 | Manoj Mittal | Internal Medicine | 2001 W Orange Grove Rd, Ste 510, Tucson, AZ 85704-1139 | 2006-07-16 |
| Street Address |
2061 FAIRVIEW AVENUE |
| City | EASTON |
| State | PA |
| Zip Code | 18042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1447770342 | Kimberly Vosbury | Occupational Therapy Assistant | 1926 Fairview Avenue, Easton, PA 18042 | 2017-06-21 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1619325446 | Vinay V Bajaj | Surgery | 250 S. 21st Street, Easton Hospital, Easton, PA 18042 | 2016-06-02 |
| 1457709941 | Matthew Bayly | Specialist/Technologist | 750 West Pierce Street, 132 Kirby Sports Center, Easton, PA 18042 | 2016-05-25 |
| 1063881753 | Mackenzie Sara Hubert | Chiropractor | 524 Northampton St, Easton, PA 18042 | 2015-09-23 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| Find all providers in zip 18042 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043412802 | Frank John Dagostino | Internal Medicine | 100 S Greenwood Ave, Easton, PA 18045-2547 | 2007-06-04 |
| 1780733816 | Lindsley D Van Der Veer Md PC | Internal Medicine | 2025 Fairview Avenue, Easton, PA 18042 | 2007-01-09 |
| 1730133513 | Lindsley Dodd Van Der Veer | Internal Medicine | 2025 Fairview Ave, Easton, PA 18042-3915 | 2006-05-19 |
| 1568412492 | Volkan O Taskin | Internal Medicine | 511 Idlewild Ave, Easton, MD 21601-3825 | 2006-05-11 |
| 1902406762 | St Luke's Physician Group, Inc | Internal Medicine | 21 Corporate Dr Ste 3, Easton, PA 18045-2664 | 2020-10-29 |
| 1437599529 | Hamza M. Abdulla | Internal Medicine | 511 Idlewild Ave, Easton, MD 21601-3888 | 2013-07-03 |
| 1346516374 | Shelini Sooklal | Internal Medicine | 250 S 21st St, Easton, PA 18042-3851 | 2012-03-23 |
| 1447456306 | Amit Sohagia | Internal Medicine | 20 Community Dr, Easton, PA 18045-2658 | 2007-06-26 |
| 1528262953 | Manoj K. Mittal,md,pc. | Internal Medicine | 2061 Fairview Ave, Easton, PA 18042-3953 | 2007-06-11 |
| 1144346503 | Digestive Health Associates, P.a. | Internal Medicine | 511 Idlewild Ave, Easton, MD 21601-3825 | 2007-03-21 |
| Find all providers in EASTON | ||||
Please comment or provide details below to improve the information on MANOJ K MITTAL.
| 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.