Individual provider · Type 1 NPI

Prem Shanker Misra, MD

Gastroenterology Physician · Forest Hills, NY

NPI number 1366443863 Active

Practice location

11247 Queens Blvd, Ste 108
Forest Hills, NY 11375-7417

Fax (516) 352-2025

Mailing address

115 Cherrywood Dr
New Hyde Park, NY 11040-2209

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X109522 (NY)
Gastroenterology Physician Primary 207RG0100X109522 (NY)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

13 other providers at this address

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About NPI 1366443863

Prem Shanker Misra, MD's National Provider Identifier is 1366443863, issued on Aug 9, 2005. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 13, 2026.