Individual
PRASUN MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-4677
Mailing address
110 IRVING ST NW STE 2A38M, WASHINGTON, DC 20010-3017
(202) 877-4677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-093924
OH
207R00000X
Internal Medicine Physician
Primary
MD045718
DC
207R00000X
Internal Medicine Physician
MD434797
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2962290
—
OH
Enumeration date
08/14/2008
Last updated
01/10/2018
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