NPI 1134851025

Ohm Shukla, EMTB

Practitioner Basic Emergency Medical Technician Champaign, IL

Practice location

Address: 11 Gerty Dr, Champaign, IL 61820-7404
Phone: (217) 338-8925

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 060678431 (IL)

Other Emergency Medical Technician, Basic providers in Illinois →

Registry record

NPI: 1134851025
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2022
Record last updated: 29 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.