Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prem Shanker Misra, MD

Individual provider Internal Medicine Physician · NPI 1366443863

Prem Shanker Misra, MD is an Internal Medicine Physician in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11247 Queens Blvd Ste 108
Forest Hills, NY 11375-7417
Phone: (718) 793-3838
Fax: (516) 352-2025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 109522 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 109522 (NY)

Record details

NPI number1366443863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 13, 2026

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