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Contact Information

BIBHUTI B MISHRA, MD
6845 ELM ST STE 700
MCLEAN, VA22101-3851
 Phone: 703-356-1105
 Fax: 703-356-0970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for BIBHUTI B MISHRA · (Male)

NPI Number 1215973540
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 12/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101047021
  • VA Medicaid 007101741
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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