Bissram, Melisha

Bissram, Melisha is an individual health care provider with primary practice located at 739 Thimble Shoals Blvd Suite 801, Newport News VA 23606-3562. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Bissram, Melisha can be contacted via phone (757) 873-1009.

Contact Information

Primary practice address
739 Thimble Shoals Blvd Suite 801 Newport News VA 23606-3562
Phone: (757) 873-1009
Fax: (757) 873-7689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101243205 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101243205 Virginia

Profile Details

NPI number 1942417183
LBN Legal business name Bissram, Melisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942417183 NPPES
Virginia MEDICAID 1942417183

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