Individual
SHUBH KHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(786) 852-5196
Mailing address
14222 SW 101ST LN, MIAMI, FL 33186-6967
(786) 852-5196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10024236
OR
367500000X
Certified Registered Nurse Anesthetist
149014
FL
Other
Enumeration date
07/25/2024
Last updated
07/26/2024
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