Mishra, Dev K

Mishra, Dev K is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, 2Nd Floor, Redwood City CA 94063-3132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mishra, Dev K can be contacted via phone (650) 498-7555.

Contact Information

Primary practice address
450 Broadway St Pavilion A, 2Nd Floor Redwood City CA 94063-3132
Phone: (650) 498-7555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G66837 California

Profile Details

NPI number 1902812142
LBN Legal business name Mishra, Dev K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902812142 NPPES
California MEDICAID 00G668370

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