Provider Demographics
NPI:1467727735
Name:SHUKLA, SHRIPAAD Y (MD)
Entity Type:Individual
Prefix:DR
First Name:SHRIPAAD
Middle Name:Y
Last Name:SHUKLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 OXFORD DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2357
Mailing Address - Country:US
Mailing Address - Phone:412-683-5300
Mailing Address - Fax:
Practice Address - Street 1:300 OXFORD DR STE 300
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2357
Practice Address - Country:US
Practice Address - Phone:412-683-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.060802207W00000X
PAMD464110207W00000X
OK32009207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology