Individual
DR. TRISHNA SISODRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5754
(228) 875-0780
Mailing address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24064
MS
Other
Enumeration date
05/24/2014
Last updated
01/14/2016
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