Dewan, Misha

Dewan, Misha is an individual health care provider with primary practice located at 1200 W Tabor Road 4Th Floor-Moss Building, Philadelphia PA 19141-3019. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Dewan, Misha can be contacted via phone (215) 456-6815.

Contact Information

Primary practice address
1200 W Tabor Road 4Th Floor-Moss Building Philadelphia PA 19141-3019
Phone: (215) 456-6815
Fax: (215) 456-6803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 53310 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD448671 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT194659 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD448671 Pennsylvania

Profile Details

NPI number 1649407578
LBN Legal business name Dewan, Misha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Jun 1st, 2023 - about last year

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 1649407578 NPPES
Minnesota MEDICAID ENROLLED

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