Individual
MUKESH MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42135 10TH ST W, SUITE 301, LANCASTER, CA 93534-7095
(661) 945-6931
(661) 945-4592
Mailing address
42135 10TH ST W, SUITE 301, LANCASTER, CA 93534-7095
(661) 945-6931
(661) 945-4592
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A95774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
08/01/2006
Last updated
10/21/2014
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