Provider Demographics
NPI:1811951775
Name:MITHANI, HASMUKH AMRITLAL (MD)
Entity type:Individual
Prefix:MR
First Name:HASMUKH
Middle Name:AMRITLAL
Last Name:MITHANI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2817 REILLY RD
Mailing Address - Street 2:WOMACK ARMY MEDICAL CENTER MEXC-COD CREDENTIALS
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:2817 REILLY RD
Practice Address - Street 2:WAMC OPTHAMOLOGY SECTION
Practice Address - City:FT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310
Practice Address - Country:US
Practice Address - Phone:910-907-6001
Practice Address - Fax:910-907-8614
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC22658207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology