Mitali Baksi, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

18706 Issued in WV

Practice address

1540 Spring Valley Dr
Laboratory Service 113
Huntington, WV 25704-9300

Phone

(304) 429-6755

Fax

(304) 429-0284

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407865306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GUYAN OAKS DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052144",
            "telephone_number": "304-736-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "address_2": "LABORATORY SERVICE 113",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049300",
            "telephone_number": "304-429-6755",
            "fax_number": "304-429-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSI",
        "first_name": "MITALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "18706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyndall Baker
• Lindsey Baker
• Sally Jo Baker, CRNA
• Timothy Lee Baker, PHARMACIST
• Cindy Bakley
• Pranav Balakrishnan
• Balance Family & Behavioral Health LLC
• Thomas George Balch, ATC
• Alfred Baldera, M.D.
• Aidan Baldwin

• Anatomic Pathology & Clinical Pathology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Anatomic Pathology & Clinical Pathology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.