|Provider Name||NUPUR MITTAL M.D.|
|Provider Location Address||1725 W. HARRISON ST SUITE 710 RUSH UNIVERSITY MEDICAL CENTER, CHICAGO, IL 60612|
|Provider Mailing Address||1620 W. CONGRESS PKWY SUITE 447 PAVILION C/O EMILY SUSSKIND, RUSH UNIVERSITY MEDICAL CENTER, CHICAGO, IL 60612|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||No|
|Is Organization Subpart?||N/A|
|Last Update Date||11-18-2015|
NUPUR MITTAL M.D.
1725 W. HARRISON ST SUITE 710
RUSH UNIVERSITY MEDICAL CENTER,
Phone: (312) 942-5983
Fax: (312) 563-2519
NUPUR MITTAL M.D.
1620 W. CONGRESS PKWY SUITE 447 PAVILION
C/O EMILY SUSSKIND, RUSH UNIVERSITY MEDICAL CENTER,
Phone: (312) 942-7098
Fax: (312) 942-2876
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.