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Individual

TRIPURARI MISHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4053 LONE TREE WAY, ANTIOCH, CA 94531-6210
(925) 779-7200
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C199727
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208600000X
AR
Enumeration date
05/22/2013
Last updated
08/13/2025
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