Mishra, Kiran

Mishra, Kiran is an individual health care provider with primary practice located at 4137 N 108Th Ave , Phoenix AZ 85037-5459. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mishra, Kiran can be contacted via phone (623) 877-7337.

Contact Information

Primary practice address
4137 N 108Th Ave Phoenix AZ 85037-5459
Phone: (623) 877-7337
Fax: (623) 772-0686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD421575 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35689 Arizona

Profile Details

NPI number 1205828175
LBN Legal business name Mishra, Kiran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205828175 NPPES
Pennsylvania MEDICAID 01963962

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