Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A157105 | CA |
NPI | 1013276104 |
---|---|
Provider Name | Shreela Mishra |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93720-0353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2012 |
Last Update Date | 02/02/2021 |