Individual
ANANYA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 ELECTRIC RD STE A, ROANOKE, VA 24018-8449
(540) 772-8670
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102209383
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2022
Last updated
11/28/2025
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