Individual
PALLAVI MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1713 6TH AVE S, BIRMINGHAM, AL 35294-4220
(205) 934-4107
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
49308
AL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2023-02720
NC
Other
Enumeration date
03/27/2019
Last updated
08/22/2024
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