Individual
ALLAN KUMAR MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 CRANE ST, MENLO PARK, CA 94025-4429
(650) 498-6500
Mailing address
1300 CRANE ST, MENLO PARK, CA 94025-4260
(650) 498-6645
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G79155
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G79155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
—
Enumeration date
04/07/2006
Last updated
04/28/2024
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