Individual
DR. KAMLA K MISHRA
Active
Individual
DR. KAMLA K MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD059125L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015971720002
—
PA
01
—
0015971720004
MA
PA
01
—
50070589
KEYSTONE SPECIALIST
PA
01
—
CB00663
RAILROAD MEDICARE PBA
PA
Enumeration date
01/09/2006
Last updated
01/12/2017
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