Individual
NIKHIL ATUL SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N RITTER AVE STE 340, INDIANAPOLIS, IN 46219-3049
(317) 355-5870
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083246A
IN
207R00000X
Internal Medicine Physician
57.026797
OH
207RH0000X
Hematology (Internal Medicine) Physician
01083246A
IN
207RH0003X
Hematology & Oncology Physician
01083246A
IN
207RH0003X
Hematology & Oncology Physician
11019965A
IN
207RX0202X
Medical Oncology Physician
Primary
01083246A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201336360
—
IN
01
—
266180L11
MEDICARE
—
01
—
Q00382717
RAILROAD MEDICARE
IN
Enumeration date
05/04/2015
Last updated
09/06/2023
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