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Mini Sra

Internal Medicine in Mishawaka, IN. Individual provider (NPI-1).

NPI number1003122003
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1003122003
Entity type
Individual (NPI-1)
Name
Mini Sra
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2010
Last updated
Nov 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine01072359AINYes

Other names

  • Mandeep Sra (Former Name)

Practice location

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Phone 574-335-2521 · Fax 574-335-2262

Mailing address

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Phone 574-335-2521 · Fax 574-335-2262

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