| Alok Shukla Enterprises Pc | |
|
25779 Kelly Rd Roseville MI 48066-4973 | |
| (586) 777-7772 | |
| (586) 777-6231 |
| Full Name | Alok Shukla Enterprises Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25779 Kelly Rd, Roseville, Michigan |
| Authorized Official Name and Position | Alok Shukla (PHYSICIAN) |
| Authorized Official Contact | 5867777772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alok Shukla Enterprises Pc 25779 Kelly Rd Roseville MI 48066-4973 Ph: (586) 777-7772 | Alok Shukla Enterprises Pc 25779 Kelly Rd Roseville MI 48066-4973 Ph: (586) 777-7772 |
| NPI Number | 1437227030 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 12/15/2014 |
| Medicare PECOS PAC ID | 1355493271 |
|---|---|
| Medicare Enrollment ID | O20090723000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437227030 | NPI | - | NPPES |
| 1868687 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 045713 (Michigan) | Primary |
| Provider Name | Alok Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508948183 PECOS PAC ID: 4789736042 Enrollment ID: I20090716000645 |
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