Individual
DR. KABINDRA N MISHRA
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 49201-1847
(517) 787-3900
(517) 787-4318
Mailing address
1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 49201-1847
(517) 787-3900
(517) 787-4318
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301033204
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920070
PHYSICIANS HEALTH PLAN
MI
01
—
1196630001
MEDICARE DMERC
MI
01
—
381017
BLUE CROSS BLUE SHIELD MI
MI
01
—
P58871
BLUE CARE NETWORK
MI
Enumeration date
08/16/2005
Last updated
07/08/2007
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