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Mitra Shultz, PA-C
NPI 1831600667 · on the registry since 2017
Practice
- Address
- 2044 Madison Ave Ste 6
Granite City, IL 62040 - Phone
- (618) 798-3475
- Fax
- (618) 798-3868
- Organisation at this address
- Abid Nisar
Gateway Pharmacy
Bijoy Hegde Md, Pc
Biomedical Imaging Llc
Biomedical Imaging, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-19
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 Illinois