MEDICARE: SHIKHA SHRESTHA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD447718	PA
2	207R00000X	Internal Medicine Physician	MT196222	PA
3	207R00000X	Internal Medicine Physician	ME122810	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	LY985	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14Z7T	OTHER	FL	BCBS FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205165610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIKHA SHRESTHA MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:	239-368-5011

Provider Business Practice Location Address
First Line	:	260 BETH STACEY BLVD UNIT 130
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-6074
Country	:	US
Telephone Number	:	239-368-2839
Fax Number	:	239-368-5011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2009
Last Update Date	:	10/01/2024

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Directions to “ SHIKHA SHRESTHA MD” Practice Location

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