Misra Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MISRA MEDICAL CORP

Practice address

16542 Ventura Blvd Ste 304
Encino, CA 91436-5036

Phone

(818) 431-5511

NPI assigned

Dec 22, 2022

Last updated

Dec 22, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sulagna Misra, MDNPI 1245469717

Title

Owner

Phone

(818) 431-5511

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sulagna Misra, M.D.

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1245469717
  Authorized official Same address or phone
• Michael Aurash Zadeh, M.D.

  • Surgery Physician
  • Sherman Oaks, CA
  • NPI 1467673699
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1124730007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365036",
            "telephone_number": "818-431-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISRA MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "MISRA",
        "authorized_official_first_name": "SULAGNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-431-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Mile Medical Center (Miracle Mile Recovery)
• Venus Mirbod, PSY.D.
• Ali Mirfakhrai, D.C.
• Roberta E. Mirisch, L.C.S.W.
• Haris Mirza
• Sulagna Misra, M.D.
• Helen Mitchell
• Susan Margaret Mitchell, PHD MFT
• Tejal Mitroo, M.A., BCBA
• Mix Pharmacy Inc (Mix Pharmacy)

• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.