Ram K Mittal, MD is a
Surgery physician based in South Milwaukee, Wisconsin. Ram K Mittal is licensed to practice in Wisconsin (license number 20701) and his current practice location is 100 15th Avenue, Suit 170, South Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 762-3910.
NPI number for Ram K Mittal is 1134296718 and his current mailing address is Po Box 935, Hales Corners, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134296718.
Physician's Profile
| Full Name | Ram K Mittal |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 100 15th Avenue, South Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134296718
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 11/02/2012
Medical Identifiers
Medical identifiers for Ram K Mittal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134296718 | NPI | - | NPPES |
| 30152400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 20701 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ram K Mittal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ram K Mittal, MD
Po Box 935,
Hales Corners, WI 53130-0935
Ph: (414) 762-3910 | Ram K Mittal, MD
100 15th Avenue, Suit 170,
South Milwaukee, WI 53172
Ph: (414) 762-3910 |
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