Individual
DR. SARITA ANISHA KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.D.
Contact information
Practice address
1970 TOLUKA WAY, BOISE, ID 83712-8547
(585) 455-9764
Mailing address
3926 LELAND RD, LOUISVILLE, KY 40207-2006
(585) 455-9764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MR-1138
ID
207W00000X
Ophthalmology Physician
Primary
R2522
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2010
Last updated
07/16/2014
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