Nilamadhab Mishra, MD
Internal Medicine, Rheumatology in Winston Salem, NC. Individual provider (NPI-1).
NPI number1104801232
StatusActive
Last updated in NPPESAug 3, 2018
Details
- NPI
- 1104801232
- Entity type
- Individual (NPI-1)
- Name
- Nilamadhab Mishra
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2005
- Last updated
- Aug 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | 200000903 | NC | Yes |
Practice location
275 Executive Park Blvd Ste 601Winston Salem, NC 27103
Phone 336-955-1838 · Fax 336-955-1842
Mailing address
275 Executive Park Blvd Ste 601Winston Salem, NC 27103-1548
Phone 336-955-1838 · Fax 336-955-1842
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