Provider Demographics
NPI:1801224308
Name:SHUKLA, ALPANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALPANA
Middle Name:
Last Name:SHUKLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 YORK AVE
Mailing Address - Street 2:APT 11C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7940
Mailing Address - Country:US
Mailing Address - Phone:917-833-4782
Mailing Address - Fax:
Practice Address - Street 1:1161 YORK AVE
Practice Address - Street 2:APT 11C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7940
Practice Address - Country:US
Practice Address - Phone:917-833-4782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-18
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267449207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism