Organization
DEVI P. MISRA M.D.,F.A.C.P
Active
Organization
DEVI P. MISRA M.D.,F.A.C.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVI P MISRA M.D. (PRESIDENT)
(256) 880-0455
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004729
—
AL
01
—
051004729
BLUE CROSS BLUE SHIELD
AL
01
—
411013507
MEDICARE RAILROAD
AL
Enumeration date
12/20/2006
Last updated
05/28/2009
Update your record
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