SHRUTI MISHRA MD NPI 1689104952

NPI Information

NPI: 1689104952
Provider Name: SHRUTI MISHRA, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000
Get Directions

Shruti Mishra, MD is a diagnostic radiology radiology in Ann Arbor, MI with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shruti Mishra, MD NPI is 1689104952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109-000
Phone: (734) 936-4000

The NPI 1689104952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2017 and was last updated on 8/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		125.070165	ILLINOIS	No
2	2085R0202X	Radiology	Diagnostic Radiology	4301509657	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	125.070165	OTHER	ILLINOIS	IDFPR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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