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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770601353

Srobona Mitra, MD is a Family Practice in Yakima, Washington. Qualified in 2000, 26 years ago. Practices with Interlake Medical Center, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2007
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

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone: (509) 452-4520
Fax: (509) 452-5224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00049380 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence ML20007916 (WA)

Record details

NPI number1770601353
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESMarch 9, 2009
Mailing address18625 Ne 139th St, Woodinville, WA 98072-6586

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Interlake Medical Center, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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