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Individual

DR. ASEEM RAVINDRA SHUKLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHA, PHILADELPHIA, PA 19104-4306
(215) 590-2754
(215) 590-3985
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
ME73100
FL
2088P0231X
Pediatric Urology Physician
Primary
MD417111
PA

Other

Enumeration date
06/15/2006
Last updated
04/11/2013
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