Dr. Shikha Mittoo – Internist / Geriatrician | Toronto, ON

Dr. Shikha Mittoo, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, she serves the surrounding communities. She provides comprehensive care in Internal Medicine and Geriatric Care, ensuring that adult patients, including seniors, receive tailored treatment that addresses their unique health needs. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), emphasizing patient safety and quality care.

Dr. Mittoo graduated with a Medical Degree from McMaster University in 2001 in Canada. She has completed extensive post-graduate medical training, including residency and fellowships in internal medicine and geriatrics, equipping her with specialized expertise in managing complex adult health conditions, especially in older adults.

Her clinical philosophy is rooted in clear and educational communication, fostering a collaborative approach to healthcare. She is committed to serving the Toronto community with professionalism and compassion. Dr. Mittoo speaks English fluently and values building trusting relationships with her patients to support their health and well-being.

Dr. Mittoo provides expert care for adults with a wide range of medical conditions, including:

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Geriatric Syndromes & Focused Elder Care

• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.

Dr. Mittoo manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.

Note: This list represents some of the key services offered by Dr. Mittoo. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Mittoo's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Mittoo's practice is located in the Bathurst Manor, Wilson Heights, and Downsview North neighborhoods of Toronto. The location is conveniently accessible via TTC services, including subway, streetcar, and bus routes, making it easy for patients to reach from various parts of the city. The practice is situated near the Yorkville Shopping District, offering a vibrant and accessible environment. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Mittoo? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Mittoo are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Mittoo. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

Does Dr. Shikha Mittoo discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Mittoo encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. She can provide information and facilitate these discussions.

What is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Management of Select Rheumatologic Conditions or Adrenal Gland Disorders is crucial, Dr. Mittoo also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Chronic Respiratory Diseases), and participation in meaningful activities.

Is Dr. Mittoo affiliated with a specific hospital?

Hospital privileges can vary. Dr. Mittoo may have admitting privileges or provide consultation services at Toronto area hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Mittoo as needed, or she might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.

#205 4256 Bathurst Street
Toronto, ON M3H 5Y8

Phone: (647) 954-1030 | Fax: (647) 954-1073

The facility is wheelchair accessible.

Dr. Mittoo is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Mittoo-Shikha/0181570-92420