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Organization
SHYAM N MISHRA MD PC
Active
Organization
SHYAM N MISHRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAM N MISHRA MD (PRESIDENT)
(586) 268-1990
Entity
Organization
Contact information
Practice address
8202 IRVING RD, SUITE 200, STERLING HTS, MI 48312-4614
(586) 268-1990
(586) 268-1991
Mailing address
8202 IRVING RD, SUITE 200, STERLING HTS, MI 48312-4614
(586) 268-1990
(586) 268-1991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508435
BCBS
MI
05
—
1079453 10
—
MI
Enumeration date
04/25/2008
Last updated
04/25/2008
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