Individual provider · Type 1 NPI

Shardendu Mishra, MBBS

Student in an Organized Health Care Education/Training Program · St. Louis Park, MN

NPI number 1497647283 Active

Practice location

3650 Gettysburg Ave S Apt 73
St. Louis Park, MN 55426-3788

Call (434) 249-2774 Map

Fax (434) 249-2774

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497647283

Shardendu Mishra, MBBS's National Provider Identifier is 1497647283, issued on Jul 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 17, 2025.