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Individual

DR. SUNIL PATHAK MISRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(523) 862-3710
(513) 965-8091
Mailing address
PO BOX 42456, CINCINNATI, OH 45242-0456
(513) 965-8041
(513) 965-8091

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
127871
OH
2085R0202X
Diagnostic Radiology Physician
2011012271
MO
2085R0202X
Diagnostic Radiology Physician
49431
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0169700
OH
05
201386530
IN
05
7100411700
KY
Enumeration date
06/17/2010
Last updated
11/11/2016
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