Mishra, Vinod

Mishra, Vinod is an sole proprietor health care provider with primary practice located at 6958 Brockton Ave Ste 201 , Riverside CA 92506-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mishra, Vinod can be contacted via phone (951) 784-6790.

Contact Information

Primary practice address
6958 Brockton Ave Ste 201 Riverside CA 92506-3802
Fax: (951) 784-9919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A38396 California

Profile Details

NPI number 1265580724
LBN Legal business name Mishra, Vinod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Apr 19th, 2018 - about 7 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 1265580724 NPPES
California MEDICAID 00A383960

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