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1215973540
BIBHUTI B MISHRA
MC LEAN, VA
NPI
1215973540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: VA 0101047021)
Enumeration Date
2006-06-22
Last Update Date
2011-12-05
Business Address
-- BIBHUTI B MISHRA MD
6845 ELM ST STE 700
MC LEAN, VA 22101-3851
Phone number: 703-356-1105
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Mailing Address
-- BIBHUTI B MISHRA MD
PO BOX 791093
BALTIMORE, MD 21279-1093
Phone number:
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