Individual
NAKUL SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(989) 708-8340
Mailing address
1635 AURORA CT, AURORA, CO 80045-2541
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009310
CO
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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