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Individual
VERSHALEE SHUKLA
Active
Individual
VERSHALEE SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
45161
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1342785
CIGNA
AZ
05
—
650366
—
AZ
01
—
928961
WELLCARE MEDICARE ADVANTAGE
AZ
01
—
9976756
AETNA
AZ
Enumeration date
10/04/2011
Last updated
07/18/2019
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