Mishra, Sushri M

Mishra, Sushri M is an individual health care provider with primary practice located at 6748 Charlotte Pike , Nashville TN 37209-3720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Mishra, Sushri M can be contacted via phone (615) 647-9005.

Contact Information

Primary practice address
6748 Charlotte Pike Nashville TN 37209-3720
Phone: (615) 647-9005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36632 Tennessee
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 36632 Tennessee

Profile Details

NPI number 1588690168
LBN Legal business name Mishra, Sushri M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 12th, 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 1588690168 NPPES
Tennessee MEDICAID 4064788
Tennessee MEDICAID 1512238

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