Individual
VIRENDRA K MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38580
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001093
MEDICARE PTAN
WI
05
—
32336900
—
WI
Enumeration date
04/13/2006
Last updated
05/20/2015
Update your record
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