Shukla, Prem Shanker

Shukla, Prem Shanker is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shukla, Prem Shanker can be contacted via phone (732) 923-6540.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Phone: (732) 923-6540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2206 Maine

Profile Details

NPI number 1053794891
LBN Legal business name Shukla, Prem Shanker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Nov 30th, 2018 - about 8 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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