Prodyot K. Mitra, M.d.

NPI #1477724425 in Mchenry, Illinois

Provider Information

NPI Number: 1477724425
Entity Type: Organization
Organization Name: Prodyot K. Mitra, M.d.
Primary Specialty: Surgery
Enumeration Date: Mar 18, 2008
Last Updated: Oct 23, 2013

Practice Location

Address: 633 RIDGEVIEW DR
City: Mchenry
State: Illinois
ZIP Code: 60050-7012
Phone: (815) 344-0621

Authorized Official

Name: DR. PRODYOT K MITRA, M.D.
Title: OWNER
Phone: (815) 344-0621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Surgery	208600000X	Primary

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