Individual provider · Type 1 NPI

Christopher Shackleford, DO

Nephrology Physician · Philadelphia, PA

NPI number 1831765684 Active

Practice location

3509 N Broad St Ste 226
Philadelphia, PA 19140-4105

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5103

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X5151015252 (MI)
Nephrology Physician Primary 207RN0300XOT023189 (PA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1831765684

Christopher Shackleford, DO's National Provider Identifier is 1831765684, issued on Jun 2, 2021. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 24, 2024.