MEDICARE: ANUJ K SHUKLA MD

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
1	2084P0800X	Psychiatry Physician	0101265289	VA
2	2084P0800X	Psychiatry Physician	04-45903	KS
3	2084P0804X	Child & Adolescent Psychiatry Physician	48882	TX
4	2084P0804X	Child & Adolescent Psychiatry Physician	312497	LA

General Provider Information

NPI Number	:	1144586777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUJ K SHUKLA MD

Provider Business Mailing Address
First Line	:	1941 EAST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1941 EAST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2700
Fax Number	:	318-486-2721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	05/04/2026

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