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Chander Shekhar Mishra

Anesthesiology

Allopathic & Osteopathic Physicians

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000 (972) 233-1999

PECOS Enrollment

This provider is enrolled in PECOS as CHANDER MISHRA.

Based on the most recent information from CMS, provider Chander Shekhar Mishra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1083608137
Provider Type
Individual
Full Name
Mishra, Chander Shekhar
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/6/2005
Last Updated
6/22/2022

Contact Information

Practice Location

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000

(972) 715-9976

Mailing Location

PO Box 840853, Dallas, TX 75284-0853

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License N3897 Texas
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 01061147 Indiana
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 216227 Massachusetts

Chander Shekhar Mishra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Oruwari, Ivrie

Higgins, Jennifer B.

Eapen, Jeffery James

Abdalla, Mohamad

Abraham, Binu Rajan

Stetler, Jacob Bryce

Miller, Brian Todd