Shukla, Abhijit
Shukla, Abhijit is an sole proprietor health care provider with primary practice located at 11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shukla, Abhijit can be contacted via phone (260) 672-6620.Contact Information
Primary practice address
11109 Parkview Plaza Dr
Fort Wayne IN 46845-1701
Phone: (260) 672-6620
Fax: (260) 672-6639
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01061227A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01061227A | Indiana |
Profile Details
NPI number | 1760464465 |
---|---|
LBN Legal business name | Shukla, Abhijit |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2005 |
Last updated | Apr 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760464465 | NPPES |
Indiana | Other | P00465489 | RAILROAD MEDICARE |
Indiana | MEDICAID | 200802100 | RAILROAD MEDICARE |
Indiana | Other | 000000527029 | RAILROAD MEDICARE |
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