Provider Demographics
NPI:1174645469
Name:SHIKHMAN, VICTORIA (ND)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:SHIKHMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 STROBEL RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3330
Mailing Address - Country:US
Mailing Address - Phone:203-375-6959
Mailing Address - Fax:203-323-0502
Practice Address - Street 1:144 MORGAN ST SUIT 1
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905
Practice Address - Country:US
Practice Address - Phone:203-323-0500
Practice Address - Fax:203-323-0502
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000338175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110000338CT01OtherGRP FOR ANTHEM BC&BS