Individual
DR. PRADIP K MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 N 29TH ST, NORFOLK, NE 68701-3261
(402) 379-1704
(402) 379-4531
Mailing address
109 N 29TH ST, NORFOLK, NE 68701-3261
(402) 379-1704
(402) 379-4531
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16838
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3789
BCBS
NE
Enumeration date
07/23/2006
Last updated
07/08/2007
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