Individual
VARSHA SHUKLA LIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 READING BLVD, WYOMISSING, PA 19610-2344
(770) 881-3800
Mailing address
1620 READING BLVD, WYOMISSING, PA 19610-2344
(770) 881-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000953235B
—
GA
01
—
50771
STATE LIC
GA
01
—
MD430210
STATE LICENSE
PA
Enumeration date
06/20/2006
Last updated
03/07/2023
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