Individual
CHAITANYA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 MORRIS ST STE 357, CHARLESTON, WV 25301
(304) 388-3574
(304) 388-6281
Mailing address
501 MORRIS ST STE 357, CHARLESTON, WV 25301-1326
(304) 388-3574
(304) 388-6281
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
28431
WV
207RN0300X
Nephrology Physician
28431
WV
Other
Enumeration date
08/03/2012
Last updated
08/07/2018
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