Abha Mishra Neurology Pllc | |
1340 Broad Ave Gulfport MS 39501-2404 | |
(228) 596-1103 | |
Not Available |
Full Name | Abha Mishra Neurology Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1340 Broad Ave, Gulfport, Mississippi |
Authorized Official Name and Position | Abha Mishra (OWNER) |
Authorized Official Contact | 2285961270 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Abha Mishra Neurology Pllc 753 E Scenic Dr Pass Christian MS 39571-4620 Ph: (228) 596-1270 | Abha Mishra Neurology Pllc 1340 Broad Ave Gulfport MS 39501-2404 Ph: (228) 596-1103 |
NPI Number | 1497464838 |
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Provider Enumeration Date | 11/15/2022 |
Last Update Date | 11/15/2022 |
Certification Date | 11/15/2022 |
Medicare PECOS PAC ID | 7113399916 |
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Medicare Enrollment ID | O20230203001340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497464838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Abha Mishra |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1285668921 PECOS PAC ID: 3779585229 Enrollment ID: I20070917000317 |
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