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Mini Sra

Internal Medicine · Mishawaka, IN

UnclaimedNPI 1003122003
Primary taxonomy
207R00000X
Enumerated
2010-08-27
Practice location
Mishawaka, IN
Last NPPES update
2016-11-03

State licenses

  • IN · Physician · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.