Individual
DR. SIMA SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1860 TOWN CENTER DRIVE, SUITE # 210, RESTON, VA 20190
(703) 481-6999
(703) 437-1101
Mailing address
1860 TOWN CENTER DRIVE, SUITE # 210, RESTON, VA 20190
(703) 481-6999
(703) 437-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101227766
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5806844
—
VA
Enumeration date
09/22/2006
Last updated
07/10/2013
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