Mini Sra
Internist
5215 Holy Cross Pkwy
Mishawaka
, Indiana 46545-1469
(574) 335-2262
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About
Features
Specialties
- Internist
Languages spoken
- English
Location
First Address
- Mini Sra
- 5215 Holy Cross Pkwy
- Mishawaka, IN
- Zip : 46545-1469
- Fax : (574) 335-2262
- Phone : (574) 335-2521
Second Address
- Mini Sra
- 5215 Holy Cross Pkwy
- Mishawaka, IN
- Zip : 46545-1469
- Fax : (574) 335-2262
- Phone : (574) 335-2521
Reviews
FAQs
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What type of doctor is Mini Sra
In what state does Mini Sra practice in?
Where is Mini Sra ’s practice located?
What is Mini Sra ’s gender?
Is Mini Sra a sole practitioner?
Is Mini Sra accepting new patients?
What languages does Mini Sra speak?
Does Mini Sra accept insurance?
Does Mini Sra offers telemedicine?
What is Mini Sra ’s professional license number?
What is Mini Sra ’s NPI number?
Does Mini Sra have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 01072359A | IN |
| Y | 111NI0900X | Internist | 01072359A | IN |
National Provider Identifier
| NPI | 1003122003 |
|---|---|
| Provider Name | Mini Sra |
| First Address | Mishawaka, IN 46545-1469 |
| Second Address | Mishawaka, IN 46545-1469 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2010 |
| Last Update Date | 03/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.