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Contact Information

JYOTINDRA D SHUKLA, MD
210 NORTH MAIN STREET
SALEM, MO65560
 Phone: 573-729-3711
 Fax: 573-729-3015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JYOTINDRA D SHUKLA · (Male)

NPI # 1821167719
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # R7177
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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