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
Fax: (260) 672-6639
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760464465 NPPES
Indiana Other P00465489 RAILROAD MEDICARE
Indiana MEDICAID 200802100 RAILROAD MEDICARE
Indiana Other 000000527029 RAILROAD MEDICARE

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