Shyam N Mishra MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHYAM N MISHRA MD PC

Practice address

8202 Irving Rd
Suite 200
Sterling HTS, MI 48312-4614

Phone

(586) 268-1990

Fax

(586) 268-1991

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shyam N Mishra, MD

Title

President

Phone

(586) 268-1990

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1992970446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 IRVING RD",
            "address_2": "SUITE 200",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483124614",
            "telephone_number": "586-268-1990",
            "fax_number": "586-268-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 IRVING RD",
            "address_2": "SUITE 200",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483124614",
            "telephone_number": "586-268-1990",
            "fax_number": "586-268-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM N MISHRA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-268-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0508435",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079453 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.