Individual
DR. VIKRAM RASIKLAL SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
839 MAJESTIC CT, SUITE #8, GASTONIA, NC 28054-5147
(704) 868-8988
(704) 868-9948
Mailing address
839 MAJESTIC CT, SUITE #8, GASTONIA, NC 28054-5147
(704) 868-8988
(704) 868-9948
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
33304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8976031
—
NC
Enumeration date
04/25/2006
Last updated
07/30/2012
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