Doctor Name: | DR. KISHORKUMAR N SHUKLA |
NPI Number: | 1003820762 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0076361 |
Business Practice Address: | 2705 Rebecca Lane Unit A Orange City, FL - 327638336 |
Business Phone Number: | 3867899000 |
Business Fax Number: | 3867759700 |
Mailing Address: | 2705 Rebecca Ln, Unit A ORANGE CITY |
State: | FL |
Postal Code: | 327638332 |
Phone Number: | 3867899000 |
Fax Number: | 3867759700 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | ME0076361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |