Mishra, Poonam

Mishra, Poonam is an individual health care provider with primary practice located at 401 N Wickham Rd Suite H, Melbourne FL 32935-8659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Mishra, Poonam can be contacted via phone (321) 757-5105.

Contact Information

Primary practice address
401 N Wickham Rd Suite H Melbourne FL 32935-8659
Phone: (321) 757-5105
Fax: (321) 757-5104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 593360315 Florida

Profile Details

NPI number 1306836952
LBN Legal business name Mishra, Poonam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 6th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306836952 NPPES
Florida Other 40462 BCBS MAB GROUP
Florida Other 57174 BCBS MAB GROUP

Popular Providers