Provider Demographics
NPI:1194221671
Name:MITTAL, AKASH (DO)
Entity Type:Individual
Prefix:DR
First Name:AKASH
Middle Name:
Last Name:MITTAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROBERT B. GREEN ADULT CONTINUITY CLINIC
Mailing Address - Street 2:903 W. MARTIN
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207
Mailing Address - Country:US
Mailing Address - Phone:210-358-3114
Mailing Address - Fax:
Practice Address - Street 1:ROBERT B. GREEN ADULT CONTINUITY CLINIC
Practice Address - Street 2:903 W. MARTIN
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207
Practice Address - Country:US
Practice Address - Phone:210-358-3114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine