Mishra, Prabodh

Mishra, Prabodh is an sole proprietor health care provider with primary practice located at 647 Dulop Suite 200 , Clarksville TN 37040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mishra, Prabodh can be contacted via phone (931) 648-0064.

Contact Information

Primary practice address
647 Dulop Suite 200 Clarksville TN 37040
Phone: (931) 648-0064
Fax: (931) 553-4215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LL39709 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65950 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 65950 Tennessee

Profile Details

NPI number 1245681659
LBN Legal business name Mishra, Prabodh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2016
Last updated Dec 14th, 2022 - about 2 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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