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Individual
DR. K J SHANKAR
Active
Individual
DR. K J SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249826
MA
207R00000X
Internal Medicine Physician
43941
TN
207R00000X
Internal Medicine Physician
Primary
M3385
TX
208M00000X
Hospitalist Physician
249826
MA
208M00000X
Hospitalist Physician
43941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509009
—
TN
05
—
1512300
—
TN
Enumeration date
06/23/2006
Last updated
12/10/2024
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