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KABINDRA N MISHRA MD PC NPI 1659549228


NPI Information

NPI: 1659549228
Provider Name: KABINDRA N MISHRA MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1100 E MICHIGAN AVE
SUITE 308
JACKSON, MI
ZIP 49201
Phone: (517) 787-3900
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KABINDRA N MISHRA MD PC is a specialist in Jackson, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KABINDRA N MISHRA MD PC NPI is 1659549228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 E MICHIGAN AVE
SUITE 308
JACKSON, MI
ZIP 49201-847
Phone: (517) 787-3900

The provider's authorized official is Kabindra N Mishra .
The authorized official title is Owner and has the following contact phone number (517) 787-3900.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/15/2008.


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
1174400000XSpecialistKM033204MICHIGANYes

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
12003811701OTHERMICHIGANBCBSM
2B43863MEDICARE UPINMICHIGAN
31196630001OTHERMICHIGANMEDICARE DMERC
40381017MEDICARE PINMICHIGAN
5P58871OTHERMICHIGANBLUE CARE NETWORK
62105656MEDICAIDMICHIGAN

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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