Prodyot K Mitra (NPI# 1699841247, PAC ID# 2163439639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1699841247 |
| PAC ID by PECOS | 2163439639 |
| Professional Enrollment ID | I20060309000016 |
| Full Name | Prodyot K Mitra |
| Address |
5435 Bull Valley Rd Suite 218 Mchenry IL 60050-7435 |
| Phone Number | 8155780224 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1969 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| Address | Phone | Organization |
|---|---|---|
| 5435 Bull Valley Rd, Suite 218, Mchenry, IL 60050-7435 | 8155780224 |
| Street Address |
5435 BULL VALLEY RD SUITE 218 |
| City | MCHENRY |
| State | IL |
| Zip | 60050-7435 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oscar Mauricio Sanchez | Internal Medicine | 5435 Bull Valley Rd, Suite 218, Mchenry, IL 60050-7435 | |
| Deborah Ann Mitchell | Physical Therapy | 5435 Bull Valley Rd, Suite 110, Mchenry, IL 60050-2209 | |
| Alan H Numbers | Podiatry | 5435 Bull Valley Rd, Suite 102, Mchenry, IL 60050-2209 | |
| Thomas C Tilot | Internal Medicine | 5435 Bull Valley Rd, Suite 200, Mchenry, IL 60050-7435 | |
| Allyson Lyn Stellmach | Physical Therapy | Deborah A Mitchell Physical Therapy LLC | 5435 Bull Valley Rd, Mchenry, IL 60050-2209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Mary Dosemagen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Crystal Valley, S. C. | 4309 W Medical Ctr Dr, A201, Mchenry, IL 60050-0841 |
| David K Hansen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Crystal Valley, S. C. | 4309 W Medical Ctr Dr, Mchenry, IL 60050-0841 |
| Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Ernest A Conti | Diagnostic Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Norman J. Mecwan | Physical Therapy | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Stephen L Merrill | Emergency Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Jakob C Thorud | Podiatry | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Christopher Chan | Interventional Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Mary T Riggs | Obstetrics/gynecology | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Maria J Wolff | Physical Therapy | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Find all physicians in zip 60050 | |||
| City | MCHENRY |
| Zip Code | 60050 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MCHENRY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Prodyot K Mitra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.