Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services | |
839 Majestic Ct Suite 8 Gastonia NC 28054-5147 | |
(704) 868-8988 | |
(704) 868-9948 |
Full Name | Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 839 Majestic Ct, Gastonia, North Carolina |
Authorized Official Name and Position | Vikram R Shukla (SOLE PROPRIETOR) |
Authorized Official Contact | 7048688988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services 1100 Verdant Ridge Cir Belmont NC 28012-7805 Ph: (704) 868-8988 | Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services 839 Majestic Ct Suite 8 Gastonia NC 28054-5147 Ph: (704) 868-8988 |
NPI Number | 1053775189 |
---|---|
Provider Enumeration Date | 04/05/2016 |
Last Update Date | 04/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053775189 | NPI | - | NPPES |
8976031 | Medicaid | NC | |
11096051 | Other | NC | CAQH ID |
33304 | Other | NC | STATE LICENSE |
2084P0804X | Other | NC | TAXONOMY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 33304 (North Carolina) | Primary |
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