Individual
DR. SANJAY MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Mailing address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01046978A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01046978A
IN
Other
Enumeration date
12/06/2005
Last updated
01/08/2014
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