Individual
DR. SHASHWAT MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, SUITE 17462, CHICAGO, IL 60611-2991
(501) 786-4184
Mailing address
A 13, NIRBHAYNAGAR, BYE PASS GAILANA ROAD, AGRA, UTTAR PRADESH 28200-7
00919811663872
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125062477
IL
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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