Shukla, Samarth

Shukla, Samarth is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Shukla, Samarth can be contacted via phone (407) 303-2528.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 303-2528
Fax: (407) 303-2760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT194406 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME124490 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME124490 Florida

Profile Details

NPI number 1518196112
LBN Legal business name Shukla, Samarth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Apr 6th, 2023 - 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 1518196112 NPPES
Florida MEDICAID 015078800
Florida MEDICAID 003163416A

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