Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | R6287 | TX |
NPI | 1063856847 |
---|---|
Provider Name | Nikita Malani Shukla |
First Address | Houston, TX 77030-2612 |
Second Address | Houston, TX 77030-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2013 |
Last Update Date | 07/12/2018 |