Individual
DR. KHUSHBU SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6184
(417) 269-4608
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2016008699
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
MD14344
RI
Other
Enumeration date
07/13/2012
Last updated
08/03/2020
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