Individual
SUSHRI M MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6748 CHARLOTTE PIKE, NASHVILLE, TN 37209-3720
(615) 647-9005
Mailing address
210 FRANKLIN RD, SUITE 4-B, BRENTWOOD, TN 37027-3218
(615) 964-6160
(615) 964-6120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36632
TN
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
36632
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512238
—
TN
05
—
4064788
—
TN
Enumeration date
06/24/2006
Last updated
10/12/2018
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