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

SUDIPTA MISRA, MD

Active

SUDIPTA MISRA, MD is a Pediatric Gastroenterology healthcare provider located in SUMMERVILLE, South Carolina. NPI 1932177052 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · SUMMERVILLE, SC

Registration Details

NPI Number
1932177052
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2006 (20.439540515978 yrs)
Last Updated
Mar 17, 2018
Licenses
2012-00929 (NC)
036097590 (IL)
51197 (SC)

Practice Information

Address
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC, 294859039
Browse SC providers · Browse ZIP 29485
Phone
8436952700
Primary Specialty
Pediatric Gastroenterology
2080P0206X
Additional Specialty
Pediatric Gastroenterology
Additional Specialty
Pediatric Gastroenterology
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.