Doctor Name: | DR. MELISSA S SHUKLA |
NPI Number: | 1396787743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | SC005634 |
Business Practice Address: | 800 Main St Suite 106 Hellertown, PA - 180551535 |
Business Phone Number: | 6108386808 |
Business Fax Number: | 6108385333 |
Mailing Address: | 800 Main St, Suite 106 HELLERTOWN |
State: | PA |
Postal Code: | 180551535 |
Phone Number: | 6108386808 |
Fax Number: | 6108385333 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 01/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC005634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |