Individual
DR. SAMARTH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-2528
(407) 303-2760
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-2528
(407) 303-2760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME124490
FL
208000000X
Pediatrics Physician
MT194406
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME124490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003163416A
—
GA
05
—
015078800
—
FL
Enumeration date
07/06/2009
Last updated
04/06/2023
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