Individual
DR. SHYAM SHANKAR
Active
Individual
DR. SHYAM SHANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2019002816
MO
207RP1001X
Pulmonary Disease Physician
2019002816
MO
Other
Enumeration date
06/28/2013
Last updated
04/18/2023
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