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Individual

IRA SHUKLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125064917
IL
208000000X
Pediatrics Physician
324135
LA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
324135
LA

Other

Enumeration date
07/10/2014
Last updated
11/11/2020
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