Individual
NILAMADHAB MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 EXECUTIVE PARK BLVD STE 601, WINSTON SALEM, NC 27103
(336) 955-1838
(336) 955-1842
Mailing address
275 EXECUTIVE PARK BLVD STE 601, WINSTON SALEM, NC 27103-1548
(336) 955-1838
(336) 955-1842
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
200000903
NC
Other
Enumeration date
12/13/2005
Last updated
08/03/2018
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