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Individual

MILISH RISBOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(513) 814-3346
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101261991
VA
207R00000X
Internal Medicine Physician
Primary
16758
NV
207R00000X
Internal Medicine Physician
35-093307
OH
207R00000X
Internal Medicine Physician
DR.0059742
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2946450
OH
Enumeration date
05/15/2007
Last updated
09/04/2019
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