Shruti Abhijit Shukla, MD | |
5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | |
(615) 221-4474 | |
(615) 234-3774 |
Full Name | Shruti Abhijit Shukla |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 33 Years |
Location | 5301 Virginia Way, Brentwood, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619976602 | NPI | - | NPPES |
000000587062 | Other | IN | ANTHEM BC/BS |
2544803 | Medicaid | OH | |
P00704762 | Other | IN | RAILROAD MEDICARE |
200818460 | Medicaid | IN | |
000000487828 | Other | IN | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZF0201X | Pathology - Forensic Pathology | 01061384A (Indiana) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01061384A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Adams Memorial Hospital | Decatur, IN | Hospital |
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Dukes Memorial Hospital | Peru, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Pathologists Llc | 0648167544 | 97 |
Entity Name | Northeast Indiana Urology. P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619920295 PECOS PAC ID: 5395641914 Enrollment ID: O20031212000174 |
Entity Name | Associated Pathologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003863580 PECOS PAC ID: 0648167544 Enrollment ID: O20070716000207 |
Mailing Address | Practice Location Address |
---|---|
Shruti Abhijit Shukla, MD 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 Ph: (615) 221-4474 | Shruti Abhijit Shukla, MD 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 Ph: (615) 221-4474 |
Kathy Bruner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Kenneth S Piech, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Roy W. Kirchberg Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Lori D Emerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-695-4977 | |
Ben W Davis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Randall L Woodford, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Soheila Yadrandji, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 |