Mishra, Sanjeeb K

Mishra, Sanjeeb K is an sole proprietor health care provider with primary practice located at 10 Saint Patricks Dr Ste D , Waldorf MD 20603-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mishra, Sanjeeb K can be contacted via phone (301) 645-8322.

Contact Information

Primary practice address
10 Saint Patricks Dr Ste D Waldorf MD 20603-4527
Fax: (301) 645-6229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D23021 Maryland

Profile Details

NPI number 1932171345
LBN Legal business name Mishra, Sanjeeb K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Dec 13th, 2021 - about 3 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 1932171345 NPPES
Maryland Other 390003283 RAILROAD MEDICARE
Maryland MEDICAID 018131500 RAILROAD MEDICARE

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