Individual
PRABHAT MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHILDRENS WAY # 203, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
2012018936
MO
207LP3000X
Pediatric Anesthesiology Physician
26070
MS
207LP3000X
Pediatric Anesthesiology Physician
Primary
E-13412
AR
Other
Enumeration date
07/01/2012
Last updated
07/23/2020
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