Individual
DR. DEVENKUMAR H MISTRY
Active
Individual
DR. DEVENKUMAR H MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
36615
AZ
2084N0400X
Neurology Physician
Primary
A104128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211758
—
AZ
01
—
P00625268
RAILROAD MEDICARE
AZ
Enumeration date
04/06/2007
Last updated
12/14/2021
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