Dr. Vinod K Misra
Pediatrician Clinical Genetics (M.D.)
3950 Beaubien St
Detroit
, Michigan 48201-2120
Dr. Vinod K Misra
Pediatrician Clinical Genetics (M.D.)
3950 Beaubien St
Detroit
, Michigan 48201-2120
(734) 832-9122
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Vinod K Misra
- 3950 Beaubien St
- Detroit, MI
- Zip : 48201-2120
- Phone : (734) 832-9122
Second Address
- Dr. Vinod K Misra
- 3950 Beaubien St
- Detroit, MI
- Zip : 48201-2120
- Phone : (734) 832-9122
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 4301079084 | MI |
| N | 208000000X | Pediatrician | 4301079084 | MI |
National Provider Identifier
| NPI | 1861402497 |
|---|---|
| Provider Name | Dr. Vinod K Misra |
| First Address | Detroit, MI 48201-2120 |
| Second Address | Detroit, MI 48201-2120 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 01/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4572490 | (05) | MI |
| H99291 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.