MANOJ MITTAL (NPI# 1972520708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972520708 |
| Entity Type | Individual |
| Full Name | MANOJ MITTAL |
| Credential | M.D. |
| Practice Address |
2001 W Orange Grove Rd Ste 510 Tucson AZ 85704-1139 |
| Practice Telephone | 5202191539 |
| Practice Fax Number | 5207976704 |
| Mailing Telephone | 5202191539 |
| Mailing Fax Number | 5207976704 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
29007 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 695744 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720172737 | Manoj K Mittal | Internal Medicine | 2061 Fairview Avenue, Easton, PA 18042 | 2006-10-03 |
| 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 |
| Street Address |
2001 W ORANGE GROVE RD STE 510 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319174 | David Ross Allen | Pediatrics | 2001 W Orange Grove Rd, # 312, Tucson, AZ 85704-1141 | 2006-01-03 |
| 1841738747 | Adrian Valle Md Pllc | Psychiatry & Neurology | 2001 W Orange Grove Rd, 260, Tucson, AZ 85704-1139 | 2017-02-10 |
| 1285015503 | James Benjamin Hackett | Registered Nurse | 2001 W Orange Grove Rd, Tucson, AZ 85704-1139 | 2015-06-11 |
| 1487067195 | Elijah Oster-morris, Pmhnp-bc, Pllc | Nurse Practitioner | 2001 W Orange Grove Rd, 312, Tucson, AZ 85704-1139 | 2014-06-10 |
| 1144631797 | Elijah Oster-morris | Nurse Practitioner | 2001 W Orange Grove Rd, 312, Tucson, AZ 85704-1139 | 2014-05-16 |
| 1235569328 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 2001 W Orange Grove Rd, Ste 416, Tucson, AZ 85704-1139 | 2013-11-26 |
| 1356609077 | Infectious Disease Consultants Pllc | Internal Medicine | 2001 W Orange Grove Rd, Suite 404, Tucson, AZ 85704-1139 | 2012-05-01 |
| 1598061228 | Alif Sarah, Md PC | Internal Medicine | 2001 W Orange Grove Rd, Suite 612, Tucson, AZ 85704-1139 | 2011-01-27 |
| 1306075668 | Adrian Valle | Psychiatry & Neurology | 2001 W Orange Grove Rd, 260, Tucson, AZ 85704 | 2009-07-08 |
| 1194969840 | Valerie Vasick Watterson | Physical Therapist | 2001 W Orange Grove Rd, Suite 114, Tucson, AZ 85704-1139 | 2009-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
| 1568556561 | Vicki L Greiff Md | Internal Medicine | 1704 W Anklam, Suite 106, Tucson, AZ 85745 | 2006-10-03 |
| 1750328969 | Maressa M Alejandro Reyes | Internal Medicine | 1702 W. Anklam Road, Suite 111, Tucson, AZ 85745 | 2006-05-31 |
| 1598748428 | Milan Jansky | Internal Medicine | 1500 W Commerce Ct, Tucson, AZ 85746-6015 | 2005-11-23 |
| 1730160573 | Scott M Bolhack | Internal Medicine | 5130 North Circulo Sobrio, Tucson, AZ 85718-6036 | 2005-11-09 |
| 1295234615 | Emerald Care Pllc | Internal Medicine | 5390 E Erickson Dr, Tucson, AZ 85712-2822 | 2018-02-12 |
| 1285046706 | Shaun Chatelain | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724 | 2014-06-02 |
| 1487922290 | Kentromed Pllc | Internal Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2011-12-07 |
| 1528358322 | Bravo Geriatrics | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2011-04-13 |
| Find all providers in TUCSON | ||||
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| 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.