SearchIdaho207R00000X

Manisha Mittal, MD

NPI 1760534424 · on the registry since 2007

Practice

Address
413 Allumbaugh St
Ste 101
Boise, ID 83704
Phone
(208) 323-1125
Fax
(208) 323-9604
Organisation at this address
Hagen, Inc.
Eric Gilbreath Md Pa
Summit Counseling Pllc
Nicole Thurston, M.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho