Individual
HEATHER LYNN MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8330 NAAB RD STE 340, INDIANAPOLIS, IN 46260-2279
(317) 338-5100
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01060694A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01060694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200514960
—
IN
Enumeration date
08/10/2005
Last updated
01/12/2017
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