Shukla, Kishorchandra S.
Shukla, Kishorchandra S. is an sole proprietor health care provider with primary practice located at 59 Koch Ave , Morris Plains NJ 07950-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shukla, Kishorchandra S. can be contacted via phone (973) 538-1800.Contact Information
Primary practice address
59 Koch Ave
Morris Plains NJ 07950-4400
Phone: (973) 538-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03390600 | New Jersey |
Profile Details
| NPI number | 1417016650 |
|---|---|
| LBN Legal business name | Shukla, Kishorchandra S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Feb 25th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417016650 | NPPES |
| New Jersey | Other | 717748C2E | MEDICARE BILLING NO. |
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