Individual
DR. DEVI P MISRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 WHITESPORT DR SW, SUITE 103, HUNTSVILLE, AL 35801-6452
(256) 880-0455
(256) 882-6382
Mailing address
400 WHITESPORT DR SW, SUITE 103, HUNTSVILLE, AL 35801-6452
(256) 880-0455
(256) 882-6382
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9102
AL
207RP1001X
Pulmonary Disease Physician
Primary
9102
AL
208M00000X
Hospitalist Physician
9102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004729
—
AL
01
—
411013507
MEDICARE RAILROAD RETIREM
AL
01
—
510-04729
BCBS
AL
Enumeration date
02/16/2006
Last updated
05/26/2009
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