Individual
KALA SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 363-6656
Mailing address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MA80380
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA80380
LICENSE
NJ
Enumeration date
05/16/2007
Last updated
11/23/2011
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