Mittal Medical Group, PA

NPI #1275863516 in Lubbock, Texas

Provider Information

NPI Number: 1275863516
Entity Type: Organization
Organization Name: Mittal Medical Group, PA
Primary Specialty: Internal Medicine
Enumeration Date: Jan 8, 2010
Last Updated: Jan 8, 2010

Practice Location

Address: 3904 101ST ST
City: Lubbock
State: Texas
ZIP Code: 79423-5725
Phone: (512) 321-3278

Authorized Official

Name: DR. PIYUSH MITTAL, M.D.
Title: PRESIDENT
Phone: (408) 821-4246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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