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NPI Code Detail

MEDICARE: SUMINA SHAKYA

MEDICARE: SUMINA SHAKYA
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
11041C0700XClinical Social WorkerP019370NC

General Provider Information

NPI Number : 1780367623
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMINA SHAKYA
Provider Business Mailing Address
First Line : 55 TOZER RD
Second Line :
City : BEVERLY
State : MA
Zip : 01915-5515
Country : US
Telephone Number : 978-969-2894
Fax Number : 978-969-2637
Provider Business Practice Location Address
First Line : 1216 MANN DR
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5512
Country : US
Telephone Number : 980-262-3043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ SUMINA SHAKYA ” Practice Location

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