IndividualActive
Amit Misra, MD
NPI 1154737773 · Family Medicine Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1154737773
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301104865 (MI)
Practice location
24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Phone: (586) 777-2050
Fax: (586) 777-2189
Mailing address
24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Registry dates
- Enumerated
- 2014-07-02
- Last updated
- 2014-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.