| Swarup Misra, DO | |
|
27351 Dequindre Rd, Madison Hts, MI 48071-3487 | |
| (248) 967-7795 | |
| (248) 967-7794 |
| Full Name | Swarup Misra |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 27351 Dequindre Rd, Madison Hts, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396905121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101017802 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 5101017802 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health Lincoln | Lincolnton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atrium Health North Market Network Llc | 1557743440 | 136 |
| Wake Forest Emergency Providers | 7012819816 | 310 |
| Entity Name | Emergency Medicine Physicians Of Craven County Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164462586 PECOS PAC ID: 0042106478 Enrollment ID: O20040224000355 |
| Entity Name | Emergency Medicine Physicians Of Mecklenburg County Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912232182 PECOS PAC ID: 3870635584 Enrollment ID: O20100119000374 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Entity Name | Atrium Health North Market Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871112920 PECOS PAC ID: 1557743440 Enrollment ID: O20220809003741 |
| Mailing Address | Practice Location Address |
|---|---|
| Swarup Misra, DO 27351 Dequindre Rd, Madison Hts, MI 48071-3487 Ph: (248) 967-7795 | Swarup Misra, DO 27351 Dequindre Rd, Madison Hts, MI 48071-3487 Ph: (248) 967-7795 |
Farshad Salehi, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 27351 Dequindre Rd, Madison Hts, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 |