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Individual

MRS. DINA H MISHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3103 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3676
(615) 851-7865
(615) 851-7853
Mailing address
3103 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3676
(615) 851-7865
(615) 851-7853

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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