Sonal Dhuper Mittal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01078936A Issued in IN

Practice address

301 E Day Rd
Mishawaka, IN 46545-3455

Phone

(574) 307-6522

NPI assigned

Jul 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sdhuper77498@direct.bronsonhg.org

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1649409335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-307-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-307-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "SONAL",
        "middle_name": "DHUPER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109302",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2012020072",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "T2009006330",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078936A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mishawaka Sleep Inc
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• Rita M Mitcheff, LCSW
• Airiana Mitchell
• Sacha Lynn Mitchell
• MJ Counseling LLC
• Mobileradiology.Org LLC
• Mobileradiology.Org, LLC
• Zeina Mohamed Refaat Mohamed Ali Rady
• Shaya Mokfi, M.D.

• Internal Medicine Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.