Individual provider · Type 1 NPI

Tanisha Mitra, DO

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1790474336 Active

Practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Call (210) 358-4000 Map

Mailing address

24260 Woodham Rd
Novi, MI 48374-2863

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790474336

Tanisha Mitra, DO's National Provider Identifier is 1790474336, issued on May 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on May 1, 2023.