Organization
VINOD MISHRA MD FACG A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD MISHRA MD (OWNER)
(951) 784-6790
Entity
Organization
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
Enumeration date
01/08/2007
Last updated
08/22/2020
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