Sudipta Misra
MD | Pediatric Gastroenterology | Male
Sudipta Misra, MD is a Summerville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Sudipta Misra is
295a Midland Pkwy Ste 260, Summerville, South Carolina - 29485-9039. He can be contacted on phone at
843-695-2700.
Sudipta Misra is a sole proprietor of his business.
NPI number (Unique professional ID) for Sudipta Misra is
1932177052 which was assigned by NPPES on 14 Mar, 2006 and it was last updated on 17 Mar, 2018.
Sudipta Misra license number is
51197 for Pediatrics Pediatric Gastroenterology (2080P0206X) in South Carolina.
Sudipta Misra specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Sudipta Misra basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Sudipta Misra |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Sudipta Misra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 295a Midland Pkwy Ste 260
Summerville, SC, 29485-9039
United States |
|---|
| Phone Number : | 843-695-2700 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932177052 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 14 Mar, 2006 |
|---|
| Last Updated On : | 17 Mar, 2018 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sudipta Misra are as mentioned. Primary taxonomy code for Sudipta Misra, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 51197 | SC |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 036097590 | IL |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 2012-00929 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Sudipta Misra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5921082 | MEDICAID | NC | |
| 036097890 | MEDICAID | IL | |
| 171H6 | Other | NC | BCBSNC |
| 07215036 | Other | IL | BCBS |
| G59563 | MEDICAID | SC | |
| IL01Y9 | Other | IL | JOHN DEERE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2160 HERBERT COURT, ECU PHYSICIANS PEDIATRIC GASTROENTEROLOGY
GREENVILLE, NC, 27834-3736
United States | GREENVILLE, NC | 252-744-5437 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 295-a Midland Parkway
Summerville, SC, 29485
United States |
|---|
Business Location:
Patients can refer following map for directions to
Sudipta Misra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.