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NPI Code Detail

MEDICARE: URVASHI SHUKLA PA-C

MEDICARE: URVASHI SHUKLA PA-C
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
1363A00000XPhysician Assistant25MP00606300NJ
2363AM0700XMedical Physician Assistant25MP00606300NJ

General Provider Information

NPI Number : 1619567138
Entity Type Code : Individual
Provider Name (Legal Business Name) : URVASHI SHUKLA PA-C
Provider Business Mailing Address
First Line : 30 ELLIOT DR
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4134
Country : US
Telephone Number : 856-651-8932
Fax Number :
Provider Business Practice Location Address
First Line : 1105 LAUREL OAK RD STE 166
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4312
Country : US
Telephone Number : 856-309-5869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2021
Last Update Date : 06/09/2026

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Directions to “ URVASHI SHUKLA PA-C” Practice Location

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