Provider Demographics
NPI:1487882411
Name:PRAJAPATI, MITTAL AMRUTLAL (MD)
Entity type:Individual
Prefix:DR
First Name:MITTAL
Middle Name:AMRUTLAL
Last Name:PRAJAPATI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20 CROSSROADS DR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5419
Mailing Address - Country:US
Mailing Address - Phone:410-844-3121
Mailing Address - Fax:443-552-7450
Practice Address - Street 1:20 CROSSROADS DR
Practice Address - Street 2:SUITE 10
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5419
Practice Address - Country:US
Practice Address - Phone:410-844-3121
Practice Address - Fax:443-552-7450
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2021-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD69314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty