Most Relevant Information
Provider Data
| NPI Number: | 1003044702 |
| Provider Name: | MAYANK KUMAR MITTAL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | T2009005450 |
Most Important Dates
| Enumeration Date: | 07/01/2009 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
610 N MICHIGAN ST STE 400
SOUTH BEND
IN
46601
Practice Location Phone/Fax
| Phone: | 5746478120 |
| Fax: | 5746478111 |
Provider Mailing Location
3245 HEALTH DR STE 100
GRANGER
IN
465301380
Provider Mailing Phone/Fax
| Phone: | 5746472129 |
| Fax: | 5742376069 |
Suggested EMR
Internist EMR