Individual
DR. ABHA MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 BROAD AVE STE 440, GULFPORT, MS 39501-2460
(228) 867-4855
(228) 867-4870
Mailing address
753 E SCENIC DR, PASS CHRISTIAN, MS 39571-4620
(228) 452-6121
(228) 452-6121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101239395
VA
2084N0400X
Neurology Physician
Primary
19797
MS
2084N0400X
Neurology Physician
MD035978
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051815
—
MS
Enumeration date
07/10/2006
Last updated
06/20/2021
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