Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 01085980A | IN |
NPI | 1316228307 |
---|---|
Provider Name | Dr. Varun Mittal |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-5116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2011 |
Last Update Date | 20/08/2021 |