Shukla, Ashutosh Manojkumar

Shukla, Ashutosh Manojkumar is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shukla, Ashutosh Manojkumar can be contacted via phone (352) 273-9180.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 273-9180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X T2009-080 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME110506 Florida

Profile Details

NPI number 1558585711
LBN Legal business name Shukla, Ashutosh Manojkumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jun 22nd, 2012 - about 12 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 1558585711 NPPES
Florida MEDICAID 004642100

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