Individual
DR. RUCHA SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 LEADER AVE RM 9A, LEXINGTON, KY 40508
(859) 218-3895
Mailing address
138 LEADER AVE, ROOM 9A, LEXINGTON, KY 40508
(304) 546-4460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BC 07274801978
WV
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
50385
KY
Other
Enumeration date
07/07/2014
Last updated
07/25/2019
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