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MISHRA & MISHRA MD PA NPI 1376599001


NPI Information

NPI: 1376599001
Provider Name: MISHRA & MISHRA, MD, PA

Doing Business As: MCLEAN NEUROSCIENCE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6845 ELM ST STE 700
MC LEAN, VA
ZIP 22101
Phone: (703) 356-1105
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MISHRA & MISHRA, MD, PA is a multi-specialty clinic center in Mc Lean, VA. MISHRA & MISHRA, MD, PA NPI is 1376599001. The provider is registered as an organization entity type.
The provider Is Doing Business As Mclean Neuroscience.

The provider's business location address is:

6845 ELM ST STE 700
MC LEAN, VA
ZIP 22101-851
Phone: (703) 356-1105
Fax: (703) 356-0970

The provider's authorized official is Leah Gaedeke .
The authorized official title is Fnp/clinic Administrator and has the following contact phone number (703) 356-1105.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 12/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1512159MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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