| Vikas Simon Mittal, MD | |
|
1675 Village Trl E Unit 6, Saint Paul, MN 55109-5820 | |
| (507) 363-9367 | |
| Not Available |
| Full Name | Vikas Simon Mittal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1675 Village Trl E Unit 6, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629038377 | NPI | - | NPPES |
| 764422100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42701 (Minnesota) | Primary |
| Entity Name | Ltc Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417251935 PECOS PAC ID: 7911181029 Enrollment ID: O20110414000668 |
| Entity Name | Northern Lights Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316581440 PECOS PAC ID: 6305278797 Enrollment ID: O20191125001002 |
| Entity Name | Selah Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215676747 PECOS PAC ID: 5597146852 Enrollment ID: O20220718001776 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20230928001785 |
| Mailing Address | Practice Location Address |
|---|---|
| Vikas Simon Mittal, MD 1675 Village Trl E, Unit # 6, Maplewood, MN 55109-5819 Ph: (507) 363-9367 | Vikas Simon Mittal, MD 1675 Village Trl E Unit 6, Saint Paul, MN 55109-5820 Ph: (507) 363-9367 |
Wojciech Kraszkiewicz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Nicholas Charles Boysen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Joel E Money, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-290-0133 Fax: 651-241-2910 | |
Christopher Edward Cantoria Garces, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-241-5511 | |
Nathan M Frink, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899 | |
Dr. Andrew Caraganis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676 | |
Dr. Patrick George Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |