SANJEEB K. MISHRA M.D. P.A. CHARTERED NPI 1245300664

NPI Information

  • NPI: 1245300664
  • Provider Name: SANJEEB K. MISHRA M.D., P.A. CHARTERED
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 3581 OLD WASHINGTON RD
    SUITE D
    WALDORF, MD
    ZIP 20602
  • Phone: (301) 645-8322

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NPI Details

SANJEEB K. MISHRA M.D., P.A. CHARTERED is a nephrology internal medicine in Waldorf, MD. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SANJEEB K. MISHRA M.D., P.A. CHARTERED NPI is 1245300664. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3581 OLD WASHINGTON RD
SUITE D
WALDORF, MD
ZIP 20602-270
Phone: (301) 645-8322

The provider's authorized official is Sanjeeb K Mishra .
The authorized official title is Owner and has the following contact phone number (301) 645-8322.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 2/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyD3783735MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CJ5151OTHERMARYLANDRAILROAD MEDICARE
2G80957MEDICARE UPINMARYLAND
369870100MEDICAIDMARYLAND
4642LMEDICARE PINMARYLAND
5G00649MEDICARE PINDISTRICT OF COLUMBIA
6C62617MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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