Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | P5424 | TX |
N | 208600000X | Surgeon | P5424 | TX |
N | 2086X0206X | Surgical Oncologist | 35.092153 | OH |
Y | 2086X0206X | Surgical Oncologist | ME133522 | FL |
N | 2086X0206X | Surgical Oncologist | P5424 | TX |
NPI | 1134386980 |
---|---|
Provider Name | Subhasis Misra |
First Address | Brandon, FL 33511-5716 |
Second Address | Brandon, FL 33511-5716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200480380 A | (05) | OK |
315199501 | (05) | TX |
315199502 | (05) | TX |
88522750 | (05) | NM |