Individual
DR. PRASANTHI KODURU MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-7040
Mailing address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A98005
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A98005
CA
Other
Enumeration date
06/12/2007
Last updated
12/14/2021
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