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1871903435
SUSHANTH SHANKAR
PORT JEFFERSON, NY
NPI
1871903435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- SUSHANTH SHANKAR M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2517
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Mailing Address
-- SUSHANTH SHANKAR M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2517
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