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Individual

DR. DEVENKUMAR H MISTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 651-2874
(707) 651-3991
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 651-2874
(707) 651-3991

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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