Kishorkumar N Shukla MD

NPI 1003820762 - Pediatrics - 208000000X

NPI Details
NPI 1003820762
Gender Male
Enumeration Date 07/28/2006
Last Updated 06/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2705 REBECCA LANE
UNIT A
ORANGE CITY FL, 32763-8336, US
Phone (386) 789-9000
Fax (386) 775-9700
Business Location
2705 REBECCA LN
UNIT A
ORANGE CITY FL, 32763-8332, US
Phone (386) 789-9000
Fax (386) 775-9700
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME0076361
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According to our database, Dr. Kishorkumar N Shukla MD NPI is 1003820762, taxonomy code is 208000000X and license number is ME0076361, license state is located at Florida. Kishorkumar N Shukla MD physically located at 2705 Rebecca Lane, Orange City FL, 32763-8336. NPI Number Kishorkumar N Shukla MD has the Individual type.

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1003820762 NPI number is provided on an as is basis without warranty of any kind. 1003820762 is maintained by the National Plan & Provider Enumeration System. The contents of Kishorkumar N Shukla MD are for informational purposes only.