Provider Demographics
NPI:1366458044
Name:MITTAL, DINESH (MD)
Entity Type:Individual
Prefix:DR
First Name:DINESH
Middle Name:
Last Name:MITTAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 FORT ROOTS DR
Mailing Address - Street 2:BUILDING 58 (152/NLR)
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-1709
Mailing Address - Country:US
Mailing Address - Phone:501-257-1234
Mailing Address - Fax:501-257-1749
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:BUILDING 58 (152/NLR)
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-1234
Practice Address - Fax:501-257-1749
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-09-06
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS129842084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry