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Contact Information

MONIKA MISHRA
1302 S MAIN ST
WATERBURY, CT06706-1748
 Phone: 203-756-8021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MONIKA MISHRA · (Female)

NPI Number 1316333990
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2015
Last updated 09/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 57006
  • CT Medicaid 008081148
  • CT Other 6862292 AETNA
  • CT Other 1316333990 ANTHEM BCBS
  • CT Other 6862292 CIGNA
  • CT Other 1316333990 CONNECTICARE
  • CT Other D400489070 MEDICARE
  • CT Other 223160873 UNITED HEALTH CARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
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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