Individual
ABHINAV KUMAR MISRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
375 WAMPANOAG TRAIL, PULMONARY & SLEEP MEDICINE, RIVERSIDE, RI 02915
(401) 649-4070
(401) 649-4071
Mailing address
110 ELM STREET, DEPT OF CREDENTIALING, PROVIDENCE, RI 02903-3017
(401) 443-4992
(202) 877-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MTL001692
DC
207RP1001X
Pulmonary Disease Physician
Primary
MD17190
RI
Other
Enumeration date
07/05/2013
Last updated
09/18/2020
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