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1053794891
PREM SHANKER SHUKLA
BANGOR, ME
NPI
1053794891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ME MD2206)
Enumeration Date
2015-06-29
Last Update Date
2018-11-30
Business Address
Dr. PREM SHANKER SHUKLA MD
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 732-923-6540
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Mailing Address
Dr. PREM SHANKER SHUKLA MD
43 WHITING HILL RD STE 300
BREWER, ME 04412-1006
Phone number: 207-973-6676
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