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Individual

DR. DEV K MISHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 BROADWAY ST, PAVILION A, 2ND FLOOR, REDWOOD CITY, CA 94063-3132
(650) 498-7555
Mailing address
450 BROADWAY ST, PAVILION C, 4TH FLOOR, REDWOOD CITY, CA 94063-3132

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G66837
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G668370
CA
Enumeration date
07/31/2006
Last updated
02/18/2015
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