Provider Demographics
NPI:1417304395
Name:MITAS, PLLC
Entity Type:Organization
Organization Name:MITAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SWASTIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-956-9035
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-0193
Mailing Address - Country:US
Mailing Address - Phone:303-956-9035
Mailing Address - Fax:
Practice Address - Street 1:8547 E ARAPAHOE RD
Practice Address - Street 2:555
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-1436
Practice Address - Country:US
Practice Address - Phone:303-956-9035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory