Mishra, Suprav

Mishra, Suprav is an sole proprietor health care provider with primary practice located at 2100 Dorchester Ave , Dorchester MA 02124-5615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mishra, Suprav can be contacted via phone (617) 296-4000.

Contact Information

Primary practice address
2100 Dorchester Ave Dorchester MA 02124-5615
Phone: (617) 296-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 257914 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 252898 Massachusetts

Profile Details

NPI number 1497010748
LBN Legal business name Mishra, Suprav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Aug 31st, 2017 - about 8 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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