Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISHA LEE TABER MARTINEZ, M.D.
ActiveMISHA LEE TABER MARTINEZ, M.D. is a Pediatrics healthcare provider located in GRANITE CITY, Illinois. NPI 1528221082 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GRANITE CITY, IL
Registration Details
- NPI Number
- 1528221082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 4, 2008 (18.081001465608 yrs)
- Last Updated
- Jan 26, 2015
- Licenses
-
036-129509 (IL)2011012182 (MO)
Practice Information
- Address
-
3165 MYRTLE AVE STE 2GRANITE CITY, IL, 620405012Browse IL providers · Browse ZIP 62040
- Phone
- 6188767500
- Fax
- 6188760807
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in GRANITE CITY, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHAVALIT ROJAN | M.D | 1598726010 |
| SHAHNAZ AHMAD | MD | 1184634685 |
| DR. SHAFIQUE AHMAD | MD | 1700973229 |
| MOHAMMAD REZA S ASHRAF | — | 1033208897 |
| JAMIL RANA | MD | 1528143716 |
| DR. AMANDA LEIGH PARSLEY | D.O. | 1770719171 |
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.