Most Relevant Information
Provider Data
| NPI Number: | 1003820762 |
| Provider Name: | KISHORKUMAR N SHUKLA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | ME0076361 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 03/22/2017 |
Provider Practice Location
2501 S VOLUSIA AVE STE 100
UNIT A
ORANGE CITY
FL
327639134
Practice Location Phone/Fax
| Phone: | 3867899000 |
| Fax: | 3867759700 |
Provider Mailing Location
2501 S VOLUSIA AVE STE 100
ORANGE CITY
FL
327639134
Provider Mailing Phone/Fax
| Phone: | 3867899000 |
| Fax: | 3867759700 |
Suggested EMR
Pediatrics EMR