Individual
MRS. DINA H MISHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240296
UNITED HEALTHCARE HMO
—
01
—
2950507011
CIGNA HMO
—
01
—
2950507013
CIGNA COMM
—
05
—
3038469
—
TN
01
—
3127862
BLUE CROSS
TN
01
—
677740
AETNA
—
Enumeration date
09/23/2005
Last updated
09/28/2022
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