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Individual

TUSHAR MISHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D./MBBS

Contact information

Practice address
801 PRINCETON AVE SW STE 707, BIRMINGHAM, AL 35211-1395
(205) 780-4330
(205) 780-7775
Mailing address
801 PRINCETON AVE SW STE 707, BIRMINGHAM, AL 35211-1395
(205) 780-4330
(205) 780-7775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.51021
AL
207RC0000X
Cardiovascular Disease Physician
51021
AL
207RI0011X
Interventional Cardiology Physician
Primary
51021
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
359134
AL
Enumeration date
05/10/2017
Last updated
07/13/2026
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