Provider Demographics
NPI:1144457961
Name:SHUKLA, ANKUR JANAK (MD)
Entity type:Individual
Prefix:DR
First Name:ANKUR
Middle Name:JANAK
Last Name:SHUKLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5535 CENTRE AVE
Mailing Address - Street 2:APARTMENT 5
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1214
Mailing Address - Country:US
Mailing Address - Phone:386-365-7105
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:A-1011
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-802-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT1956112086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery