Mishra, Raj K
Mishra, Raj K is an individual health care provider with primary practice located at 26317 West Washington St. Ext. , Petersburg VA 23803-0030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mishra, Raj K can be contacted via phone (804) 524-7294.Contact Information
Primary practice address
26317 West Washington St. Ext.
Petersburg VA 23803-0030
Phone: (804) 524-7294
Fax: (804) 524-7030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101034590 | Virginia |
Profile Details
| NPI number | 1417936865 |
|---|---|
| LBN Legal business name | Mishra, Raj K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417936865 | NPPES |
| Virginia | MEDICAID | 001081C60 |
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