Individual
JAMSHID T. MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N PEPPER AVE, DEPT. SURGERY MOD# 3, COLTON, CA 92324-1801
(909) 580-3353
(909) 580-1363
Mailing address
400 N PEPPER AVE, DEPT. SURGERY, COLTON, CA 92324-1801
(909) 580-3353
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A12854
CA
207T00000X
Neurological Surgery Physician
Primary
20A12854
CA
2084A2900X
Neurocritical Care Physician
20A12854
CA
Other
Enumeration date
07/27/2010
Last updated
04/11/2023
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