Most Relevant Information
Provider Data
| NPI Number: | 1003803594 |
| Provider Name: | UMA BALLAVA MISHRA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 1356911 |
Most Important Dates
| Enumeration Date: | 09/30/2005 |
| Last Updated: | 04/10/2008 |
Provider Practice Location
2565 ROUTE 9W
CORNWALL
NY
125181309
Practice Location Phone/Fax
| Phone: | 8455344700 |
| Fax: | 8455344800 |
Provider Mailing Location
2565 ROUTE 9W
CORNWALL
NY
125181309
Provider Mailing Phone/Fax
| Phone: | 8455344700 |
| Fax: | 8455344800 |