Sanjeeb K. Mishra M.D., P.a. Chartered

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D3783735 Issued in MD

Legal business name

SANJEEB K. MISHRA M.D., P.A. CHARTERED

Practice address

3581 Old Washington Rd
Suite D
Waldorf, MD 20602-3270

Phone

(301) 645-8322

NPI assigned

Nov 9, 2006

Last updated

Feb 8, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sanjeeb K Mishra, D23031

Title

Owner

Phone

(301) 645-8322

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed S Khalid, M.D.

  • Nephrology Physician
  • Waldorf, MD
  • NPI 1508837022
  NPD
• Song C Chon, M.D, FCCP

  • Pulmonary Disease Physician
  • White Plains, MD
  • NPI 1821069204
  NPD (past)
• Jennifer Hilfiker, PA-C

  • Medical Physician Assistant
  • Waldorf, MD
  • NPI 1013193036
  NPD (past)
• Abbas A Omais, MD

  • Pulmonary Disease Physician
  • White Plains, MD
  • NPI 1699748046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1245300664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 OLD WASHINGTON RD",
            "address_2": "SUITE D",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023270",
            "telephone_number": "301-645-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 OLD WASHINGTON RD",
            "address_2": "SUITE D",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023270",
            "telephone_number": "301-645-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEB K. MISHRA M.D., P.A. CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "SANJEEB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-645-8322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D23031"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D3783735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69870100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5151",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Zucker Salan, M.D.
• Sam's Club Optical (Sam's Club Optical 30-6655)
• Osna Samady
• Tushar Samdani, MD
• Sams East Inc (Sams Pharmacy 10-6655)
• Pedro Sarmiento Jr., M.D.
• Frederick J Sauerburger, MD, PA
• Jaleesha Monet Saunders, LMSW
• Destinee Savage, MSW, LGSW, LMSW
• Mahamadi Sawadogo, RN,BSN,WCC

• Nephrology Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.