Individual
CHAKRADHAR MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-6600
(804) 828-6129
Mailing address
1880 GLENBUCK CV N, GERMANTOWN, TN 38139-3465
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
0101272576
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2015
Last updated
04/12/2022
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