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

Prabodh Mishra

Individual provider Internal Medicine Physician · NPI 1245681659

Prabodh Mishra is a Cardiovascular Disease (Cardiology) in Clarksville, Tennessee. Qualified in 2016, 10 years ago. Practices with Saint Thomas Medical Partners, a 584-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina and Tennessee.

Years since qualifying
10
Licensed in
SC, TN
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

647 Dulop Ste 200
Clarksville, TN 37040
Phone: (931) 648-0064
Fax: (931) 553-4215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Ashley Avenue, Charleston, SC 29425 — (843) 792-2911

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 65950 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL39709 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 65950 (TN)

Record details

NPI number1245681659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 27, 2016
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address300 20th Ave N Ste 403, Nashville, TN 37203-5180

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Thomas Medical Partners — 584 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clarksville