Amitabha Mitra, MD
Amitabha Mitra, MD is a Plastic and Reconstructive Surgery in Williamsport, Pennsylvania. Qualified in 1968, 58 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 58
- Licensed in
- PA
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1100 Grampian BlvdWilliamsport, PA 17701-1907
Phone: (570) 326-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence MD023302E (PA) |
|---|
Record details
| NPI number | 1831187871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 13, 2005 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
| Mailing address | 1201 Grampian Blvd, Williamsport, PA 17701-1900 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1968 (58 years in practice) |
| Group practice | Susquehanna Physician Services — 612 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |