Individual
DR. POOJA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7001 ROGERS AVE STE 401A, FORT SMITH, AR 72903-4034
(479) 314-4650
(479) 452-9459
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 314-4650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.245763
OH
207RC0000X
Cardiovascular Disease Physician
036.156125
IL
207RC0000X
Cardiovascular Disease Physician
E-18924
AR
207RI0011X
Interventional Cardiology Physician
Primary
E-18924
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2018
Last updated
09/09/2025
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