| Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services | |
|
839 Majestic Ct Suite 8 Gastonia NC 28054-5147 | |
| (704) 868-8988 | |
| (704) 868-9948 |
| Full Name | Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 839 Majestic Ct, Gastonia, North Carolina |
| Authorized Official Name and Position | Vikram R Shukla (SOLE PROPRIETOR) |
| Authorized Official Contact | 7048688988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services 1100 Verdant Ridge Cir Belmont NC 28012-7805 Ph: (704) 868-8988 | Vikram R. Shukla, Md Child, Adolescent & Adult Psychiatry Services 839 Majestic Ct Suite 8 Gastonia NC 28054-5147 Ph: (704) 868-8988 |
| NPI Number | 1053775189 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053775189 | NPI | - | NPPES |
| 8976031 | Medicaid | NC | |
| 11096051 | Other | NC | CAQH ID |
| 33304 | Other | NC | STATE LICENSE |
| 2084P0804X | Other | NC | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 33304 (North Carolina) | Primary |
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