Individual
ANANYA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1735 CITY CENTER BLVD, ELIZABETH CITY, NC 27909-3468
(252) 338-2155
Mailing address
810 W PRINCESS ANNE RD APT 204, NORFOLK, VA 23517-1871
(512) 228-9042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023-02129
NC
208000000X
Pediatrics Physician
4301508152
MI
208000000X
Pediatrics Physician
4351045663
MI
Other
Enumeration date
06/28/2019
Last updated
08/23/2023
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