Misra, Sudipta

Misra, Sudipta is an individual health care provider with primary practice located at 295A Midland Pkwy Ste 260 , Summerville SC 29485-9039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Misra, Sudipta can be contacted via phone (843) 695-2700.

Contact Information

Primary practice address
295A Midland Pkwy Ste 260 Summerville SC 29485-9039
Phone: (843) 695-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2012-00929 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 036097590 Illinois
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 51197 South Carolina

Profile Details

NPI number 1932177052
LBN Legal business name Misra, Sudipta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 17th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932177052 NPPES
Illinois Other IL01Y9 JOHN DEERE
Illinois MEDICAID 036097890 JOHN DEERE
Illinois MEDICAID G59563 JOHN DEERE
Illinois Other 07215036 JOHN DEERE
Illinois MEDICAID 5921082 JOHN DEERE
Illinois Other 171H6 JOHN DEERE

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