Shukla, Anita Nathan

Shukla, Anita Nathan is an individual health care provider with primary practice located at 97 Libbey Industrial Pkwy Ste 100 , East Weymouth MA 02189-3110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Shukla, Anita Nathan can be contacted via phone (781) 331-3300.

Contact Information

Primary practice address
97 Libbey Industrial Pkwy Ste 100 East Weymouth MA 02189-3110
Phone: (781) 331-3300
Fax: (781) 331-8356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 246913 Massachusetts

Profile Details

NPI number 1508054248
LBN Legal business name Shukla, Anita Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Dec 20th, 2021 - about 3 years ago

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 1508054248 NPPES
Massachusetts Other 002225402 MEDICARE
Massachusetts MEDICAID 110089196A MEDICARE
Massachusetts Other 764488 MEDICARE
Massachusetts Other AA315305 MEDICARE

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