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

Dr. Shama Ravi Mittal, MD

Individual provider Internal Medicine Physician · NPI 1508865973

Dr. Shama Ravi Mittal, MD is an Internal Medicine in Rockville, Maryland. Qualified in 1990, 36 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
36
Licensed in
MD
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14816 Physicians Ln Ste 152
Rockville, MD 20850-3944
Phone: (240) 453-0000
Fax: (301) 591-4407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence D061382 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence D061382 (MD)

Record details

NPI number1508865973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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