Shweta Mishra, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD435566 Issued in PA

Practice address

894 E 3900 S
#B
Salt Lake City, UT 84107-2151

Phone

(215) 368-2100

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1184736639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9677",
            "address_2": "#B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099677",
            "telephone_number": "215-361-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E 3900 S",
            "address_2": "#B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072151",
            "telephone_number": "215-368-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "SHWETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD435566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102291017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakisa Mirrafie
• Eliska Mirvald, PA
• Ianeta Misa
• Priona Misa
• Kyohei Misawa
• Pamela Ann Misicka, RNC,MS,APRN
• Lavinia Misifoa
• Miriama Misioaka
• Paul Andrew Miska, D.O.
• Robert M. Miska, M.D.

• Internal Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.