Individual
DR. STUTI SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50450
WI
207R00000X
Internal Medicine Physician
D0064047
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-604-328-5
ECFMG NUMBER
—
05
—
1710099379
—
WI
Enumeration date
08/31/2006
Last updated
10/01/2014
Update your record
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