| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Medicare PECOS PAC ID | 7113399916 |
|---|---|
| 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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