Provider Demographics
NPI:1346088176
Name:MISHRA, ARYAN
Entity type:Individual
Prefix:
First Name:ARYAN
Middle Name:
Last Name:MISHRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10521 WESTERLY CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-9144
Mailing Address - Country:US
Mailing Address - Phone:317-667-6872
Mailing Address - Fax:
Practice Address - Street 1:10521 WESTERLY CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46040-9144
Practice Address - Country:US
Practice Address - Phone:317-667-6872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program