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Prachi Shukla, DO
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1215679899

Prachi Shukla is a Student in an Organized Health Care Education/Training Program based in Warren, MI. Prachi Shukla practices in Warren, MI and has the professional credentials of DO. The NPI Number for Prachi Shukla is 1215679899 and holds a License No. (Michigan).

The current practice location address for Prachi Shukla is 11885 E 12 Mile Rd Ste 300A, Warren, MI and can be reached out via phone at 586-582-6630 and via fax at 586-582-6631.

Location: 11885 E 12 Mile Rd Ste 300A, Warren, MI, 48093-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215679899
Provider Name
Prachi Shukla
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11885 E 12 Mile Rd Ste 300A, Warren, MI, 48093-3467
Phone Number
586-582-6630
Fax Number
586-582-6631
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11885 E 12 Mile Rd Ste 300A
City
Warren
State
Michigan
Zip
48093-3467
Phone Number
586-582-6630
Fax Number
586-582-6631
person
Provider Business Mailing Address Details
Address
11885 E 12 Mile Rd Ste 300A
City
Warren
State
Michigan
Zip
48093-3467
Phone Number
586-582-6630
Fax Number
586-582-6631
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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