Individual
DR. KARAN PRABODH SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD STE 275, CHARLOTTE, NC 28207-1109
(704) 384-1354
(704) 384-1374
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-134290
IL
207Q00000X
Family Medicine Physician
Primary
2016-01464
NC
Other
Enumeration date
10/31/2011
Last updated
09/01/2022
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