DR. KANCHAN MISHRA (NPI# 1356535751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356535751 |
| Entity Type | Individual |
| Full Name | DR. KANCHAN MISHRA |
| Credential | M.D. |
| Practice Address |
5955 Ponce De Len Blvd Coral Gables FL 33146 |
| Practice Telephone | 3056611515 |
| Practice Fax Number | 3056623723 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056623723 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ME109255 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003522400 | 05 |
| Street Address |
5955 PONCE DE LEN BLVD |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366561847 | Maria Daniela Bianco-batlles | Pediatrics | 215 Grand Avenue, Coral Gables, FL 33133 | 2007-03-28 |
| 1730171729 | Jaideep Gupta | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2005-08-17 |
| 1073923678 | Salma Asad | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2014-05-05 |
| 1134482441 | Dario Antonio Vallarino De Sanctis | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2012-06-21 |
| 1245506161 | Joseph Mariduena | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2012-03-25 |
| 1467722934 | Sravanti Kurada | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2011-12-30 |
| 1700164670 | Maria Del Mar Plata | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2011-07-26 |
| 1144514738 | Luz Marcela Merchan | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2011-06-01 |
| 1679885131 | Vanessa Victoria Celleri Gomezcoello | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2010-07-12 |
| 1295056380 | Cynthia Marie Amaro | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2010-06-13 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
Please comment or provide details below to improve the information on DR. KANCHAN MISHRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.