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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

POONAM MISHRA, M.D

Active

POONAM MISHRA, M.D is a Sports Medicine (IM) healthcare provider located in DETROIT, Michigan. NPI 1437312337 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · DETROIT, MI

Registration Details

NPI Number
1437312337
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2008 (18.075824193457 yrs)
Last Updated
Mar 4, 2021
Licenses
4301091725 (MI)
4301091725 (MI)

Practice Information

Address
4646 JOHN R ST
DETROIT, MI, 482011916
Browse MI providers · Browse ZIP 48201
Phone
3135761000
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Providers in DETROIT, MI

Name Credential NPI
DR. THOMAS PISKOROWSKI DO 1518909597
DR. JOHN HAAPANIEMI DO 1154363133
LUISA FERNANDA BAZAN M.D. 1891863320
DR. CHRISTOPHER L. DRAKE PH.D. 1083782528
DR. RUTH DARCEL BARNETT D.O. 1306969944
DAVID GESSERT 1750709465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.