Mishra, Shashank

Mishra, Shashank is an individual health care provider with primary practice located at 4815 Berewick Town Center Dr Ste C&D , Charlotte NC 28278-6733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mishra, Shashank can be contacted via phone (980) 337-4652.

Contact Information

Primary practice address
4815 Berewick Town Center Dr Ste C&D Charlotte NC 28278-6733
Phone: (980) 337-4652
Fax: (980) 337-4653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2003-01021 North Carolina

Profile Details

NPI number 1386641728
LBN Legal business name Mishra, Shashank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 25th, 2020 - about 5 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 1386641728 NPPES
North Carolina Other 1359A BCBS PROVIDER NUMBER
North Carolina MEDICAID 891359A BCBS PROVIDER NUMBER

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