Misra, Sutanu
Misra, Sutanu is an individual health care provider with primary practice located at 8201 W Broward Blvd , Plantation FL 33324-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Misra, Sutanu can be contacted via phone (954) 473-6600.Contact Information
Primary practice address
8201 W Broward Blvd
Plantation FL 33324-2701
Phone: (954) 473-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME126867 | Florida |
Profile Details
| NPI number | 1598765422 |
|---|---|
| LBN Legal business name | Misra, Sutanu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Feb 5th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598765422 | NPPES |
| Rhode Island | MEDICAID | SM54515 |
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