Individual
DR. VINAYAK SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
393 E TOWN ST STE 116, COLUMBUS, OH 43215-4799
(614) 566-9108
(614) 566-8737
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 566-9106
(614) 566-8737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.091317
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.091317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2852828
—
OH
01
—
H129712
MEDICARE OPG TIN
OH
Enumeration date
05/09/2007
Last updated
12/18/2025
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