Mishra, Kanchan

Mishra, Kanchan is an individual health care provider with primary practice located at 5955 Ponce De Len Blvd , Coral Gables FL 33146. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Mishra, Kanchan can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Len Blvd Coral Gables FL 33146
Phone: (305) 661-1515
Fax: (305) 662-3723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME109255 Florida

Profile Details

NPI number 1356535751
LBN Legal business name Mishra, Kanchan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Apr 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356535751 NPPES
Florida MEDICAID 003522400

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