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Individual

BHAVESH SHUKLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6880
(713) 500-6882
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6880
(713) 500-6882

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL.0008849
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/28/2020
Last updated
06/03/2024
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