DEEPTI SHUKLA


Address: 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228
Phone: 3186757737

DEEPTI SHUKLA (NPI# 1477587301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477587301
Entity Type Individual
Full Name DEEPTI SHUKLA
Credential MBBS
Practice Address 1501 Kings Hwy
Department of Pathology
Shreveport
LA 71103-4228
Practice Telephone 3186757737
Practice Fax Number 3186755666
Mailing Telephone 3186757737
Mailing Fax Number 3186755666
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0101X Pathology
Specialization: Anatomic Pathology
15326R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1049115 05

Office Location

Street Address 1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890769 F Dean Griffen Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-06-09
1336747625 Lana Nasief Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-09
1558968834 Dinesh Regalla Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-08
1588261283 Divleen Sidhu Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-06
1023624517 Grace Hoffman Pharmacist 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-20
1194330761 Yousef Hasan Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1790399277 Ricardo Murguia Fuentes Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1013521509 Tahir Ahmad Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1376155309 Ayesha Malik Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-08-20
1104438324 Elleny Gutierrez Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 207ZP0101X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124448584 Jehan Abdulsattar Pathology 1541 Kings Hwy, Shreveport, LA 71103-4228 2014-04-23
1134131501 Charn Nopajaroonsri Pathology 510 E Stoner Ave, Shreveport, LA 71101-4243 2006-08-13
1063430288 Warren Donovan Grafton Pathology 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228 2006-07-17
1013941095 Fleurette Wilheimina Abreo Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2006-07-10
1821022823 Marjorie Rees Fowler Pathology 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992011209 David Michael Scollard Pathology 1770 Physicians Park Dr, Nhdp, Baton Rouge, LA 70816-3222 2010-08-24
1336378793 Yukihiro Nakanishi Pathology 1430 Tulane Ave Rm 6520, New Orleans, LA 70112-2632 2009-07-07
1033165600 Patricia Carlin Pathology 67241 Industry Ln, Covington, LA 70433-8705 2006-05-25
1114305232 Xinyu Wu Pathology 100 Medical Center Dr, Slidell, LA 70461-5520 2015-05-08
1659695674 Ronnie Self II Pathology 1990 Industrial Blvd, Houma, LA 70363-7055 2010-03-19
1447417159 Rebecca A F Phillips Pathology 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2008-05-20
1588831952 Courtney Carol Jackson Pathology 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2008-05-14
1235329723 Jeffrey Robert Springer Pathology 1901 Perdido St, New Orleans, LA 70112-1393 2007-07-31
1619187945 Meredith Ashley Lakey Pathology 1516 Jefferson Hwy, New Orleans, LA 70121-2429 2007-05-23
1306978432 Sally Hotard Brewster Pathology 5825 Airline Hwy, Baton Rouge, LA 70805-2408 2007-03-12
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Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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