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Contact Information

MICKY MISHRA, MD
2870 RONALD REAGAN BLVD STE 200
CUMMING, GA30041-6092
 Phone: 404-994-4561
 Fax: 404-994-4562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICKY MISHRA · (Female)

NPI Number 1700053469
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2008
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 61127
  • OH License # 35090306
  • GA Medicaid 003171600A
Hospital affiliation(s)
  • EMORY JOHNS CREEK HOSPITAL - (Acute Care)
    6325 HOSPITAL PARKWAY
    JOHNS CREEK, GA 30097
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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