Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bhanu Odedra-Mistry, MD

Individual provider Internal Medicine Physician · NPI 1194742668

Bhanu Odedra-Mistry, MD is a Hospitalist in Fargo, North Dakota. Qualified in 1987, 39 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
39
Licensed in
ND
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1707 Gold Dr S Ste 101
Fargo, ND 58103-6413
Phone: (701) 280-2033
Fax: (701) 232-5578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 9362 (ND)

Record details

NPI number1194742668
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJune 12, 2012
Mailing address1707 Gold Dr S Ste 101, Fargo, ND 58103-6413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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