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NPI Code Detail

MEDICARE: SHIL SHUKLA DO

MEDICARE: SHIL SHUKLA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1104672690
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIL SHUKLA DO
Provider Business Mailing Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 281-420-8841
Fax Number : 713-790-8751
Provider Business Practice Location Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 281-420-8841
Fax Number : 713-790-8751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2024
Last Update Date : 04/14/2026

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