Poonam Mishra
Family Doctor - Adult Medicine
401 N Wickham Rd Suite H
Melbourne
, Florida 32935-8659
Poonam Mishra
Family Doctor - Adult Medicine
401 N Wickham Rd Suite H
Melbourne
, Florida 32935-8659
(321) 757-5104
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Poonam Mishra
- 401 N Wickham Rd Suite H
- Melbourne, FL
- Zip : 32935-8659
- Fax : (321) 757-5104
- Phone : (321) 757-5105
Second Address
- Poonam Mishra
- 401 N Wickham Rd Suite H
- Melbourne, FL
- Zip : 32935-8659
- Fax : (321) 757-5104
- Phone : (321) 757-5105
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FAQs
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Where did Poonam Mishra do her residency?
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What type of doctor is Poonam Mishra
In what state does Poonam Mishra practice in?
Where is Poonam Mishra ’s practice located?
What is Poonam Mishra ’s gender?
Is Poonam Mishra a sole practitioner?
Is Poonam Mishra accepting new patients?
What languages does Poonam Mishra speak?
Does Poonam Mishra accept insurance?
Does Poonam Mishra offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 593360315 | FL |
National Provider Identifier
| NPI | 1306836952 |
|---|---|
| Provider Name | Poonam Mishra |
| First Address | Melbourne, FL 32935-8659 |
| Second Address | Melbourne, FL 32935-8659 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 06/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 40462 | BCBS MAB GROUP (01) | FL |
| 57174 | BCBS PROVIDER ID (01) | FL |
| G35126 | (02) | FL |
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.