| Dr Himanshu Mittal, MD | |
|
2620 N. Westwood Blvd, Poplar Bluff, MO 63901 | |
| (573) 727-2640 | |
| Not Available |
| Full Name | Dr Himanshu Mittal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 2620 N. Westwood Blvd, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366682239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT192795 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 2011021601 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Illinois Llc | 1557533734 | 166 |
| Entity Name | Cogent Healthcare Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
| Entity Name | Poplar Bluff Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679822647 PECOS PAC ID: 0648424614 Enrollment ID: O20130129000611 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Entity Name | Butler Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Himanshu Mittal, MD 624 Jefferson Avenue, Scranton, PA 18510 Ph: (570) 955-6336 | Dr Himanshu Mittal, MD 2620 N. Westwood Blvd, Poplar Bluff, MO 63901 Ph: (573) 727-2640 |
Mrs. Philma Balite Opinaldo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Parkway, Suite 303, Poplar Bluff, MO 63901 Phone: 573-785-6536 Fax: 573-785-0345 | |
Hanumanth K Reddy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 | |
Lucas W Tibbs, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Steven S. Smith, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-339-0909 | |
Lance T Majors, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Khalil J Haiderzad, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, John J Pershing Vamc, Poplar Bluff, MO 63901 Phone: 573-778-4441 | |
Sehrish Khan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 |