Provider Demographics
NPI:1134673866
Name:BROKER, SHIKHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIKHA
Middle Name:
Last Name:BROKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 N BROAD ST APT 1627
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1127
Mailing Address - Country:US
Mailing Address - Phone:609-208-4114
Mailing Address - Fax:
Practice Address - Street 1:2500 ENGLISH CREEK AVE STE 1002
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5519
Practice Address - Country:US
Practice Address - Phone:609-407-2310
Practice Address - Fax:609-407-2311
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10835700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty