Mishra, Pradip K
Mishra, Pradip K is an individual health care provider with primary practice located at 647 Dunlop Ln Ste 200 , Clarksville TN 37040-5165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mishra, Pradip K can be contacted via phone (931) 648-0064.Contact Information
Primary practice address
647 Dunlop Ln Ste 200
Clarksville TN 37040-5165
Phone: (931) 648-0064
Fax: (931) 553-4215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29165 | Tennessee |
Profile Details
| NPI number | 1679660096 |
|---|---|
| LBN Legal business name | Mishra, Pradip K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Mar 13th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679660096 | NPPES |
| Tennessee | Other | 29165 | LICENSE |
| Tennessee | MEDICAID | 1517323 | LICENSE |
| Tennessee | MEDICAID | 3119169 | LICENSE |
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