Shukla, Shruti Abhijit

Shukla, Shruti Abhijit is an individual health care provider with primary practice located at 5301 Virginia Way Suite 300, Brentwood TN 37027-7541. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Shukla, Shruti Abhijit can be contacted via phone (615) 221-4474.

Contact Information

Primary practice address
5301 Virginia Way Suite 300 Brentwood TN 37027-7541
Fax: (615) 234-3774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 01061384A Indiana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01061384A Indiana

Profile Details

NPI number 1619976602
LBN Legal business name Shukla, Shruti Abhijit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Dec 5th, 2012 - about 13 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 1619976602 NPPES
Indiana Other 000000587062 ANTHEM BC/BS
Indiana MEDICAID 2544803 ANTHEM BC/BS
Indiana Other P00704762 ANTHEM BC/BS
Indiana MEDICAID 200818460 ANTHEM BC/BS
Indiana Other 000000487828 ANTHEM BC/BS

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