Mitra Canales M.D. P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4801 Issued in TX

Legal business name

MITRA CANALES M.D. P.A.

Practice address

4401 Coit Rd Ste 303
Frisco, TX 75035-0508

Phone

(214) 469-0022

Fax

(214) 469-0028

NPI assigned

Jul 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mitra Haghiri-Canales, M.D.

Title

Doctor

Phone

(214) 469-0022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1053575159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 COIT RD STE 303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350508",
            "telephone_number": "214-469-0022",
            "fax_number": "214-469-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD STE 303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350508",
            "telephone_number": "214-469-0022",
            "fax_number": "214-469-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA CANALES M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "HAGHIRI-CANALES",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-469-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0018RQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Lindsey Mitchell, M.D.
• Kaylon Mitchell
• Megan Joy Mitchell, PA-C
• Stefanie Mitchell
• Teri Michelle Mitchell, APRN, CNM, IBCLC
• Richa Mittal, MD
• Darla Louise Dorado Mitu
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• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.