Individual
VINOD MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6958 BROCKTON AVE STE 201, RIVERSIDE, CA 92506-3802
(951) 784-6790
(951) 784-9919
Mailing address
6958 BROCKTON AVE STE 201, RIVERSIDE, CA 92506-3802
(951) 784-6790
(951) 784-9919
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A38396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A383960
—
CA
Enumeration date
01/08/2007
Last updated
04/19/2018
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