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NPI Code Detail

MEDICARE: LAKSHMI SHUKLA MD

MEDICARE: LAKSHMI 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
1207RP1001XPulmonary Disease PhysicianA33993CA

General Provider Information

NPI Number : 1407043243
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKSHMI SHUKLA MD
Provider Business Mailing Address
First Line : P.O. BOX 8500
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92658-8500
Country : US
Telephone Number : 949-548-5111
Fax Number :
Provider Business Practice Location Address
First Line : 136 BROADWAY
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-2818
Country : US
Telephone Number : 949-548-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/21/2023

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