Mishra, Samir

Mishra, Samir is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Mishra, Samir can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35145338 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35145338 Ohio

Profile Details

NPI number 1780142216
LBN Legal business name Mishra, Samir
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2019
Last updated May 26th, 2022 - about 2 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 1780142216 NPPES
Ohio MEDICAID 0488028

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