Search › Tennessee › 207RC0000X
Prabodh Mishra
NPI 1245681659 · on the registry since 2016 · sole proprietor
Practice
- Address
- 647 Dulop Suite 200
Clarksville, TN 37040 - Phone
- (931) 648-0064
- Fax
- (931) 553-4215
Additional practice sites
- 169 Ashley Avenue, Charleston, SC
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
207R00000X - Licence states on file
- SC, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee