Shukla, Kishorkumar N

Shukla, Kishorkumar N is an sole proprietor health care provider with primary practice located at 2501 S Volusia Ave Ste 100 Unit A, Orange City FL 32763-9134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shukla, Kishorkumar N can be contacted via phone (386) 789-9000.

Contact Information

Primary practice address
2501 S Volusia Ave Ste 100 Unit A Orange City FL 32763-9134
Phone: (386) 789-9000
Fax: (386) 775-9700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0076361 Florida

Profile Details

NPI number 1003820762
LBN Legal business name Shukla, Kishorkumar N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Mar 22nd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003820762 NPPES
Florida MEDICAID 255838600

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