Individual
DR. SHRAM DINESH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A., M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4537
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4537
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101263055
VA
2084P0800X
Psychiatry Physician
Primary
2025-00777
NC
2084P0802X
Addiction Psychiatry Physician
70801
CT
Other
Enumeration date
05/21/2016
Last updated
10/28/2025
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