RAKESH K. MISHRA (NPI# 1558441196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558441196 |
| Entity Type | Individual |
| Full Name | RAKESH K. MISHRA |
| Credential | MD |
| Practice Address |
2450 Ashby Ave Berkeley CA 94705-2067 |
| Mailing Address |
2855 Telegraph Ave Suite 204 Berkeley CA 94705-1128 |
| Practice Telephone | 5102041691 |
| Practice Fax Number | 5102045422 |
| Mailing Telephone | 5105498960 |
| Mailing Fax Number | 5105498965 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
A062973 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A062973 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2450 ASHBY AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447369 | Henry Hinchung Tan | Internal Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-06-16 |
| 1154940286 | Kassandra Marie Donnels | Advanced Practice Midwife | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-04-09 |
| 1881221646 | Stephanie Miller | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-03-23 |
| 1962966689 | Samantha Ann Misslbeck | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2019-01-27 |
| 1851898837 | Obianauju Vivian Ogu | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2018-04-06 |
| 1033649579 | Robert Michael Roth | Emergency Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2017-06-18 |
| 1306294962 | Anh Dang | General Acute Care Hospital | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-05-24 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1316312648 | Zain Daniel Bartlett Morin | Pharmacist | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2015-12-11 |
| 1841663804 | Ilana Rose Pearlman | Advanced Practice Midwife | 2450 Ashby Ave, Rm. 3040, Berkeley, CA 94705-2067 | 2015-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418738 | Modern Molecular Imaging LLC | Nuclear Medicine | 7210 N Milburn Ave Ste 106, Fresno, CA 93722-8449 | 2020-02-07 |
| 1588918544 | Birdjandi Md.inc | Nuclear Medicine | 5313 Renaissance Ave, #2, San Diego, CA 92122-5634 | 2012-10-30 |
| 1720250103 | Ram Dandillaya, M.d., Inc. | Nuclear Medicine | 4201 Torrance Blvd Ste 790, Torrance, CA 90503 | 2008-03-26 |
| 1851318810 | Cardiac Imaging Associates A Medical Corporation | Nuclear Medicine | 8581 Santa Monica Blvd # 471, Los Angeles, CA 90069-4120 | 2006-07-16 |
| 1598780116 | Howard Charles Lewin | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2006-07-13 |
| 1942256060 | Anu Chirala A Medical Corporation | Nuclear Medicine | 18511 Mission View Dr, Suite 120, Morgan Hill, CA 95037-2974 | 2006-05-26 |
| 1457314262 | Malcolm S Pond Md Inc & Chiayu Chen Md Ptr Cardiology Associates | Nuclear Medicine | 4500 Brockton Ave Ste 203, Riverside, CA 92501-4006 | 2006-04-11 |
| 1699751222 | Evelyn Manalili Musni | Nuclear Medicine | 1860 Mowry Ave Ste 200, Fremont, CA 94538-1730 | 2005-12-15 |
| 1811431182 | Cardiac Imaging Nuclear Associates, A Medical Corporation | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2016-12-06 |
| 1801258843 | Karl Sun, M.d. Inc. | Nuclear Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.