Individual
TANUJA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 TWIN SPRINGS RD STE 140, HALETHORPE, MD 21227-3553
(443) 934-0733
(410) 737-5521
Mailing address
1701 TWIN SPRINGS RD STE 140, HALETHORPE, MD 21227-3553
(443) 934-0733
(410) 737-5521
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101227932
VA
207RN0300X
Nephrology Physician
Primary
D0064782
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012990900
—
MD
Enumeration date
01/04/2006
Last updated
02/08/2022
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