Misra, Anita

Misra, Anita is an individual health care provider with primary practice located at 208 Old Mocksville Rd , Statesville NC 28625-1953. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Misra, Anita can be contacted via phone (704) 838-8249.

Contact Information

Primary practice address
208 Old Mocksville Rd Statesville NC 28625-1953
Fax: (704) 838-8209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005-01575 North Carolina

Profile Details

NPI number 1750381562
LBN Legal business name Misra, Anita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Mar 27th, 2012 - 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 1750381562 NPPES
North Carolina MEDICAID 5902444

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