Individual provider · Type 1 NPI
Amitabha Mitra, MD
Plastic and Reconstructive Surgery Physician · Williamsport, PA
NPI number
1831187871
Active
Practice location
1100 Grampian Blvd
Williamsport, PA 17701-1907
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | MD023302E (PA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1831187871
Amitabha Mitra, MD's National Provider Identifier is 1831187871, issued on Oct 13, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Williamsport, PA. The record was last updated on Sep 22, 2026.