Individual
DR. BENJAMIN MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7383 E TANQUE VERDE RD, TUCSON, AZ 85715-3475
(520) 318-3434
(520) 318-3435
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 318-3434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099692
MI
207R00000X
Internal Medicine Physician
Primary
49828
AZ
Other
Enumeration date
12/21/2011
Last updated
08/06/2021
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