National Provider Identifier Database

PRABODH MISHRA
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

PRABODH MISHRA
647 DULOP SUITE 200
CLARKSVILLE, TN37040
Phone: 931-648-0064
Fax: 931-553-4215
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for PRABODH MISHRA

NPI Number 1245681659
Credentials
Entity Individual
Enumeration date 06/27/2016
Last updated 12/14/2022 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: LL39709
  • TN License #: 65950
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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