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Individual

KALPESH SHUKLA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 561-4400
(845) 790-2675
Mailing address
2 CATHARINE ST, P.O. BOX 550, POUGHKEEPSIE, NY 12601-3100
(845) 790-2661
(845) 790-2675

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
X001266-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02209814
NY
Enumeration date
11/04/2005
Last updated
07/08/2007
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