Provider Demographics
NPI:1780130393
Name:MISHRA, ASHISH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:KUMAR
Last Name:MISHRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B-51 B SECTOR B
Mailing Address - Street 2:ALIGANJ
Mailing Address - City:LUCKNOW
Mailing Address - State:UTTAR PRADESH
Mailing Address - Zip Code:226024
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ASIAN INSTITUTE OF GASTROENTEROLOGY
Practice Address - Street 2:SOMAJIGUDA
Practice Address - City:HYDERABAD
Practice Address - State:TELANGANA
Practice Address - Zip Code:500001
Practice Address - Country:IN
Practice Address - Phone:638-684-7989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD456731390200000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program