Individual ProviderAkash MittalFamily MedicineAllopathic & Osteopathic PhysiciansPractice AddressRobert B. Green Adult Continuity Clinic, 903 W. Martin, San Antonio, TX 78207(210) 358-3114PECOS EnrollmentBased on the most recent information from CMS, provider Akash Mittal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194221671Provider TypeIndividualFull NameMittal, AkashTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date4/3/2018Last Updated9/14/2021Contact InformationPractice LocationPractice AddressRobert B. Green Adult Continuity Clinic, 903 W. Martin, San Antonio, TX 78207Phone(210) 358-3114FaxUnlisted FaxMailing LocationMailing AddressRobert B. Green Adult Continuity Clinic, 903 W. Martin, San Antonio, TX 78207Phone(210) 358-3114FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseT1155Texas