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NPI Code Detail

MEDICARE: NIKITA MALANI SHUKLA MD

MEDICARE: NIKITA MALANI SHUKLA 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
12084N0402XNeurology with Special Qualifications in Child Neurology PhysicianR6287TX

General Provider Information

NPI Number : 1063856847
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKITA MALANI SHUKLA MD
Provider Business Mailing Address
First Line : 6701 FANNIN ST STE 1250
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2612
Country : US
Telephone Number : 832-826-5046
Fax Number :
Provider Business Practice Location Address
First Line : 6701 FANNIN ST STE 1250
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2612
Country : US
Telephone Number : 713-798-4951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2013
Last Update Date : 12/07/2018

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