Subodh Mishra, | |
91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | |
(808) 691-3000 | |
Not Available |
Full Name | Subodh Mishra |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 91-2141 Fort Weaver Rd, Ewa Beach, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639663628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MD-22461 (Hawaii) | Primary |
Entity Name | Queens University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
Mailing Address | Practice Location Address |
---|---|
Subodh Mishra, 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 Ph: (808) 691-3000 | Subodh Mishra, 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 Ph: (808) 691-3000 |
Stephanie Tin, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Dr. Deep Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3190 | |
Shivani Singh Chaudhary, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Joseph Law, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Nicholas Hoang Le, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Wendy Chu, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 |