Mishra, Uma Ballava
Mishra, Uma Ballava is an individual health care provider with primary practice located at 2565 Route 9W , Cornwall NY 12518-1309. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mishra, Uma Ballava can be contacted via phone (845) 534-4700.Contact Information
Primary practice address
2565 Route 9W
Cornwall NY 12518-1309
Phone: (845) 534-4700
Fax: (845) 534-4800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1356911 | New York |
Profile Details
| NPI number | 1003803594 |
|---|---|
| LBN Legal business name | Mishra, Uma Ballava |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Apr 10th, 2008 - about 18 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 | 1003803594 | NPPES |
| New York | MEDICAID | 00960843 |
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