Individual
MANJUL SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 595-2300
(508) 853-5226
Mailing address
5 NEPONSET ST FL STREET12, WORCESTER, MA 01606-2714
(508) 595-2300
(508) 853-5226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174196
MEDICAID WELFARE
—
05
—
0178322
—
MA
01
—
0401702
EVERCARE
—
01
—
042472266
ONE HEALTH PLAN
—
01
—
1061411
FIRST HEALTH
—
01
—
27075
CHILDRENS MED SECUR PLAN
—
01
—
7432340
US HEALTHCARE
—
01
—
784196
MVP HEALTH CARE
—
01
—
9773216
CIGNA HEALTH PLAN
—
01
—
9900237
FALLON COMM HEALTH PLAN
—
01
—
AA1250
HARVARD PILGRIM HLTHCARE
—
01
—
B01040
BLUE SHIELD HMO BLUE
—
Enumeration date
05/12/2006
Last updated
09/14/2018
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