Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIVANI MITRA, MD
ActiveSHIVANI MITRA, MD is a Pediatrics healthcare provider located in PORT ST JOHN, Florida. NPI 1245224518 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PORT ST JOHN, FL
Registration Details
- NPI Number
- 1245224518
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2005 (20.768987120413 yrs)
- Last Updated
- Aug 23, 2010
- License
-
ME101697 (FL)
Practice Information
- Address
-
5005 PORT ST JOHN PKWY2500PORT ST JOHN, FL, 329274305Browse FL providers · Browse ZIP 32927
- Phone
- 3216900164
- Fax
- 3216902591
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.