Mishra, Micky
Mishra, Micky is an sole proprietor health care provider with primary practice located at 1400 Northside Forsyth Dr Ste 390, Cumming GA 30041-6018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mishra, Micky can be contacted via phone (404) 994-4561.Contact Information
Primary practice address
1400 Northside Forsyth Dr Ste 390
Cumming GA 30041-6018
Phone: (404) 994-4561
Fax: (404) 994-4562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35090306 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 61127 | Georgia |
Profile Details
| NPI number | 1700053469 |
|---|---|
| LBN Legal business name | Mishra, Micky |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2008 |
| Last updated | Aug 16th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700053469 | NPPES |
| Georgia | MEDICAID | 003171600A |
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