Organization
FOOTHILLS CONSULTING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILIMA DAFTARY SHUKLA MD (PHYSICIAN)
(704) 480-1882
Entity
Organization
Contact information
Practice address
615 S DEKALB ST, SHELBY, NC 28150-6184
(704) 480-1882
(704) 480-1832
Mailing address
PO BOX 1418, SHELBY, NC 28151-1418
(704) 480-1882
(704) 480-1832
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20933553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014RP
—
NC
Enumeration date
02/12/2007
Last updated
03/30/2019
Update your record
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