Individual
SANJAY N. MISRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1719 E 19TH AVE, DENVER, CO 80218-1235
(303) 718-3088
(303) 718-3088
Mailing address
PO BOX 1129, FRISCO, CO 80443-1129
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35144582
OH
207T00000X
Neurological Surgery Physician
41415
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200597440A
—
KS
01
—
P00242040
RR MEDICARE
—
Enumeration date
07/26/2006
Last updated
12/30/2022
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