Individual
DR. PRASHANT MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 MADISON AVE STE 447, MEMPHIS, TN 38103-3438
(901) 448-5814
Mailing address
956 COURT AVE STE H314, MEMPHIS, TN 38103-2814
(901) 448-5704
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
12912330
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
05/11/2022
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