Mishra, Abha

Mishra, Abha is an sole proprietor health care provider with primary practice located at 1340 Broad Ave Ste 440 , Gulfport MS 39501-2460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mishra, Abha can be contacted via phone (228) 867-4855.

Contact Information

Primary practice address
1340 Broad Ave Ste 440 Gulfport MS 39501-2460
Phone: (228) 867-4855
Fax: (228) 867-4870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD035978 District of Columbia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101239395 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 19797 Mississippi

Profile Details

NPI number 1285668921
LBN Legal business name Mishra, Abha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jun 20th, 2021 - about 4 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 1285668921 NPPES
Mississippi MEDICAID 00051815

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