Provider Demographics
NPI:1053982280
Name:MISHRA, RASHMI (DDS)
Entity type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:MISHRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 PARNASSUS AVE., MED SCI 7TH FLR, ROOM S-722
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-476-2045
Mailing Address - Fax:415-514-2862
Practice Address - Street 1:513 PARNASSUS AVE., MED SCI 7TH FLR, ROOM S-722
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-476-2045
Practice Address - Fax:415-514-2862
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP307122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADF61162170OtherLICENSE