Individual
BHAVARTH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-4598
(305) 243-4037
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME126729
FL
207RI0200X
Infectious Disease Physician
Primary
ME126729
FL
Other
Enumeration date
03/25/2010
Last updated
05/02/2019
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