Monalisa M. Mitra, DO
Internal Medicine Physician · Grapevine, TX
Practice location
4100 Heritage AveSte 106
Grapevine, TX 76051-5714
- Phone
- (817) 283-1112
- Fax
- (817) 283-1116
NPI record
- NPI
- 1710097456
- Entity type
- Individual (Type 1)
- Enumeration date
- August 30, 2006
- Last updated
- June 1, 2022
- Certified
- June 1, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
M4363 | TX |
Mailing address
4100 Heritage Ave Ste 106Grapevine, TX 76051-5716
- Phone
- (817) 283-1112
- Fax
- (817) 283-1116
Other practice locations (1)
- 4300 City Point Dr Ste 200, North Richland Hills, TX 76180-8380 · (817) 255-1940
About Dr. Mitra
Monalisa M. Mitra, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 4100 Heritage Ave, Ste 106, Grapevine, TX 76051-5714. The NPI number 1710097456 was assigned on August 30, 2006 and the record was last updated on June 1, 2022.
Dr. Mitra lists a license in the registry: #M4363 (TX) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Monalisa M. Mitra, DO?
The NPI number is 1710097456.
What is the phone number of Dr. Mitra?
The phone number listed for the practice location is (817) 283-1112.
Where is Dr. Mitra located?
4100 Heritage Ave, Ste 106, Grapevine, TX 76051-5714.
What is the taxonomy code for Dr. Mitra?
The primary taxonomy code is 207R00000X – Internal Medicine Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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