Individual
DR. JYOTINDRA D. SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 NORTH MAIN STREET, SALEM, MO 65560
(573) 729-3711
(573) 729-3015
Mailing address
PO BOX 270, SALEM, MO 65560-0270
(573) 729-3711
(573) 729-3015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7177
MO
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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