Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.140240 | OH |
Y | 207V00000X | Obstetrician & Gynecologist | A132385 | CA |
N | 207V00000X | Obstetrician & Gynecologist | MD14301 | RI |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A132385 | CA |
NPI | 1033347315 |
---|---|
Provider Name | Dr. Kavita Mishra |
First Address | Redwood City, CA 94063-3132 |
Second Address | Redwood City, CA 94063-3132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 09/11/2021 |