Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kiran Mishra, MD

Individual provider Pediatrics Physician · NPI 1205828175

Kiran Mishra, MD is a Pediatric Medicine in Phoenix, Arizona. Qualified in 2000, 26 years ago. Licensed in Arizona and Pennsylvania.

Years since qualifying
26
Licensed in
AZ, PA
In the registry since
2005
Specialties on file
2
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

4137 N 108th Ave
Phoenix, AZ 85037-5459
Phone: (623) 877-7337
Fax: (623) 772-0686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35689 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence MD421575 (PA)

Record details

NPI number1205828175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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