Individual
DR. NIMISHA J SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1802, OAK TREE RD., EDISON, NJ 08820-2704
(732) 548-3210
(732) 906-3966
Mailing address
1802, OAK TREE RD., EDISON, NJ 08820-2704
(732) 548-3210
(732) 906-3966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06753200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B1261
EMPIRE
NJ
01
—
1504986
GHI
NJ
01
—
2633060
AETNA
NJ
01
—
J9447
HORIZON
NJ
01
—
P1637450
OXFORD PROVIDER ID#
NJ
Enumeration date
10/03/2006
Last updated
04/22/2022
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