DR. Prem Shanker Shukla, MD

NPI #1053794891 in Bangor, Maine

Provider Information

NPI Number: 1053794891
Entity Type: Individual
Name: DR. Prem Shanker Shukla, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 29, 2015
Last Updated: Nov 30, 2018

Practice Location

Address: 489 STATE ST
City: Bangor
State: Maine
ZIP Code: 04401-6616
Phone: (732) 923-6540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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