| Vivek Mittal, M.d. And Manisha Mittal, M.d. Inc. | |
|
2475 E Fir Ave Ste 104 Fresno CA 93720-0398 | |
| (559) 900-4013 | |
| (559) 900-4172 |
| Full Name | Vivek Mittal, M.d. And Manisha Mittal, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2475 E Fir Ave Ste 104, Fresno, California |
| Authorized Official Name and Position | Vivek Mittal (PRESIDENT) |
| Authorized Official Contact | 5599004013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivek Mittal, M.d. And Manisha Mittal, M.d. Inc. 7045 N Maple Ave Ste 101 Fresno CA 93720-8008 Ph: (559) 900-4013 | Vivek Mittal, M.d. And Manisha Mittal, M.d. Inc. 2475 E Fir Ave Ste 104 Fresno CA 93720-0398 Ph: (559) 900-4013 |
| NPI Number | 1194253872 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 08/12/2025 |
| Medicare PECOS PAC ID | 7618247966 |
|---|---|
| Medicare Enrollment ID | O20170719004016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194253872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A125783 (California) | Primary |
| Provider Name | Vivek Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396888277 PECOS PAC ID: 3375711864 Enrollment ID: I20131111001084 |
| Provider Name | Manisha Mittal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154627776 PECOS PAC ID: 5395974174 Enrollment ID: I20140128001320 |
| Provider Name | Timothy Stephen Caminata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649827882 PECOS PAC ID: 9537591284 Enrollment ID: I20191118002172 |
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