Misra, Vinod K

Misra, Vinod K is an individual health care provider with primary practice located at 3950 Beaubien St , Detroit MI 48201-2120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Misra, Vinod K can be contacted via phone (734) 832-9122.

Contact Information

Primary practice address
3950 Beaubien St Detroit MI 48201-2120
Phone: (734) 832-9122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301079084 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301079084 Michigan

Profile Details

NPI number 1861402497
LBN Legal business name Misra, Vinod K
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 1st, 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 1861402497 NPPES
Michigan MEDICAID 4572490

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