Saira Mitha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

43333 Issued in MN

Practice address

501 E Nicollet Blvd
Ste 200
Burnsville, MN 55337-6732

Phone

(952) 831-1944

Fax

(952) 278-6947

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689772709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PARKLAWN AVE",
            "address_2": "STE 120",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355655",
            "telephone_number": "952-831-1944",
            "fax_number": "952-278-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E NICOLLET BLVD",
            "address_2": "STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376732",
            "telephone_number": "952-831-1944",
            "fax_number": "952-278-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITHA",
        "first_name": "SAIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "43333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "275J9MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "FP9021028298",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1202086",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristofer James Miron
• Yelena Sergeevna Mironova-Chin, MD
• Hallie Misiaszek
• Mission Home Healthcare LLC
• Marissa Mitchell, LMFT
• Michael Mittelsteadt, D.D.S
• Hanan Moalim
• Samira Mohamed Moalim
• Ahmed Liban Moalin
• Mobcare Clinics LLC

• Pediatrics Physician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Pediatrics Physician in Minnesota

• 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.