Individual
HIMANSHU HARSHADRAY SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 629-1378
(352) 629-1406
Mailing address
14285 N US HIGHWAY 441, CITRA, FL 32113-3643
(602) 751-2358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
33766
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME169723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124536200
—
FL
05
—
941056
—
AZ
01
—
Z113435
MEDICARE PTAN
AZ
Enumeration date
08/30/2005
Last updated
05/30/2025
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