Provider Demographics
NPI:1912312570
Name:MISHRA, RISHABH (MD)
Entity Type:Individual
Prefix:DR
First Name:RISHABH
Middle Name:
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 1:2462 BELMONT AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-6352
Mailing Address - Country:US
Mailing Address - Phone:917-361-9189
Mailing Address - Fax:
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:DEPT. OF INTERNAL MEDICINE, MILLS BUILDING, 3RD FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:917-361-9189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program