Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mittal Dermatology PA

Organization Dermatology Physician · NPI 1043947286

Mittal Dermatology PA is a Dermatology Physician in Plymouth, Minnesota. Works from 5 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15655 37th Ave N Ste 100
Plymouth, MN 55446-4003
Phone: (630) 632-2648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5109 36th Ave N, Crystal, MN 55422-2007 — (630) 632-2648
  • 1600 Warren St Ste 9, Mankato, MN 56001-7113 — (630) 632-2648
  • 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 — (630) 632-2648
  • 50 Central Ave, Osseo, MN 55369-1241 — (630) 632-2648

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1043947286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amit Mittal — Owner · (630) 632-2648
NPI enumeratedAugust 8, 2022
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address15655 37th Ave N Ste 100, Plymouth, MN 55446-4003

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