Medha Shukla
Pediatrics, Pediatric Gastroenterology in Loma Linda, CA. Individual provider (NPI-1).
NPI number1013370204
StatusActive
Last updated in NPPESSep 13, 2022
Details
- NPI
- 1013370204
- Entity type
- Individual (NPI-1)
- Name
- Medha Shukla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2016
- Certification date
- Sep 13, 2022
- Last updated
- Sep 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | A162944 | CA | Yes |
Practice location
25845 Barton Rd Ste 101Loma Linda, CA 92354-5300
Phone 909-558-3904
Mailing address
11175 Campus St Rm A1111Loma Linda, CA 92350-1700
Phone 909-558-8142
Other practice locations
2195 Club Center Dr Ste G
San Bernardino, CA 92408-4162
San Bernardino, CA 92408-4162
Phone 909-558-2617
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