Tandra Mitra, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

227523 Issued in MA

Practice address

101 Page Street
St Luke'S Hospital
New Bedford, MA 02740

Phone

(508) 961-5006

Fax

(508) 961-5750

NPI assigned

Jun 24, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ravishankar L Rao M D PA

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1184810053
  NPD (past)
• Vatsala Sastry MD PA

  • Infectious Disease Physician
  • Brooksville, FL
  • NPI 1811183908
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861428500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WAMPANOAG TRL",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061709",
            "telephone_number": "401-246-2827",
            "fax_number": "508-961-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PAGE STREET",
            "address_2": "ST LUKE'S HOSPITAL",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-961-5006",
            "fax_number": "508-961-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRA",
        "first_name": "TANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "227523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niell Magnus Miranda, MSN FNP-BC
• Noemi Miranda
• Javad Mirzai
• Jessica M Mitchell, NP
• Stephanie S Mitchell, NP
• Michelle Mlinac, PHD
• Nasser Mohrah, D.M.D
• Ela-Anamaria Moisa, MD
• Amy B Molis, MD
• Eileen Margaret Molloy, N.P.

• Infectious Disease Physician in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Infectious Disease Physician in Massachusetts

• 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.