Individual
DR. TINNI MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD # MS 2024, KANSAS CITY, KS 66160-5701
(913) 588-6841
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-4384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9792133-1205
UT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
94-11696
KS
208M00000X
Hospitalist Physician
9792133-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
06/28/2024
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