Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAMA RAVI MITTAL, M.D.
DeactivatedPediatrics · ROCKVILLE, MD
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508865973
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (0.66849315068493 yrs)
- Last Updated
- Sep 11, 2025
- Deactivated
- Mar 20, 2006
- Licenses
-
D061382 (MD)D061382 (MD)
Practice Information
- Address
-
14816 PHYSICIANS LNSUITE 152ROCKVILLE, MD, 208503944Browse MD providers · Browse ZIP 20850
- Phone
- 2404530000
- Fax
- 3015914407
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in ROCKVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| MARIA LUISA SANTOS | MD | 1487653432 |
| JAY ALLAN BERNSTEIN | MD | 1316946395 |
| DR. AGLAE ECONOMIDES | MD | 1023002235 |
| PENGXIN LIN | M.D. | 1922098870 |
| GAUROV DAYAL | MD | 1720078009 |
| IVAN J FUSS | MD | 1457341737 |
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.