MEDICARE: MARIA SHELUKHA

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	390200000X	Student in an Organized Health Care Education/Training Program	097.0135982	VT

General Provider Information

NPI Number	:	1881546703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA SHELUKHA

Provider Business Mailing Address
First Line	:	102 S WINOOSKI AVE
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-7406
Country	:	US
Telephone Number	:	802-488-6920
Fax Number	:	802-488-6919

Provider Business Practice Location Address
First Line	:	855 PINE ST
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-4924
Country	:	US
Telephone Number	:	802-488-6000
Fax Number	:	802-488-6919

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ MARIA SHELUKHA ” Practice Location

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