Individual
DR. NEELADRI MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1927
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A125344
CA
208M00000X
Hospitalist Physician
Primary
A125344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-3955
MEDICARE ID TYPE UNSPECIFIED
CA
05
—
GR0089250
—
CA
05
—
RHM53955F
—
CA
Enumeration date
03/22/2011
Last updated
10/27/2022
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