Shukla, Manan S.
Shukla, Manan S. is an individual health care provider with primary practice located at 450 W Medical Center Blvd Suite 203, Webster TX 77598-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shukla, Manan S. can be contacted via phone (832) 906-2500.Contact Information
Primary practice address
450 W Medical Center Blvd Suite 203
Webster TX 77598-4234
Phone: (832) 906-2500
Fax: (832) 906-2501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091485 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43570 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N9300 | Texas |
Profile Details
| NPI number | 1194794610 |
|---|---|
| LBN Legal business name | Shukla, Manan S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jan 15th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194794610 | NPPES |
| Illinois | MEDICAID | 036091485 | |
| Illinois | MEDICAID | 403226800 |
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