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Prabhas Mittal, MD
Hematology & Oncology Physician in Milwaukee, Wisconsin
NPI 1366476319

Prabhas Mittal is a Hematology & Oncology Physician based in Milwaukee, WI and is specialized in Hematology & Oncology. Prabhas Mittal practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Prabhas Mittal is 1366476319 and holds a License No. MD00041314 (Wisconsin).

The current practice location address for Prabhas Mittal is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-6800 and via fax at 414-805-0618.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366476319
Provider Name
Prabhas Mittal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-6800
Fax Number
414-805-0618
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0164822 01 WA L&I
1366476319 05 WI
8331225 05 WA
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-6800
Fax Number
414-805-0618
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-6800
Fax Number
414-805-0618
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
50320 (Wisconsin)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
MD00041314 (Washington)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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