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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OHM SHUKLA, EMT-B

Active Sole Proprietor

OHM SHUKLA, EMT-B is a Emergency Medical Technician, Basic healthcare provider located in CHAMPAIGN, Illinois. NPI 1134851025 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · CHAMPAIGN, IL

Registration Details

NPI Number
1134851025
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2022 (4.1418406321752 yrs)
Last Updated
Jun 29, 2022
License
060678431 (IL)
Sole Proprietor
Yes

Practice Information

Address
11 GERTY DR
CHAMPAIGN, IL, 618207404
Browse IL providers · Browse ZIP 61820
Phone
2173388925
Primary Specialty
Emergency Medical Technician, Basic
146N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.