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

Vijay K Mittal, MD

Individual provider Surgery Physician · NPI 1073615282

Vijay K Mittal, MD is a General Surgery in Southfield, Michigan. Qualified in 1967, 59 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
59
Licensed in
MI
In the registry since
2006
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

22250 Providence Dr Ste 703A
Southfield, MI 48075
Phone: (248) 849-5862
Fax: (248) 849-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence VM037030 (MI)

Record details

NPI number1073615282
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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