Individual
DR. SABEENA MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4160 JOHN R ST, SUITE 917, DETROIT, MI 48201-2020
(313) 745-4525
(313) 745-0011
Mailing address
1420 STEPHENSON HWY, TROY, MI 48083-1189
(313) 745-4525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301080628
MI
207RG0100X
Gastroenterology Physician
Primary
4301080628
MI
Other
Enumeration date
07/05/2007
Last updated
05/04/2012
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