Rajeev Shukla
Medical Specialty
Professional ID
- NPI: 1548289630
- PECOS ID: 7911061718
- Enrollment ID: I20090122000459
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1991
Hospital Service
- Hospital CCN1: 050336
- Business Name (LBN)1: Lodi Memorial Hospital
- Hospital CCN2: 050084
- Business Name (LBN)2: St Josephs Medical Center Of Stockton
- Hospital CCN3: 050557
- Business Name (LBN)3: Memorial Medical Center
Medical Practices
- Organization Name: Rajeev Shukla Md Inc
- Group Practice ID assigned by PECOS: 8426234568
- Number of Group Practice member: 0
Location
- Address1: 845 S Fairmont Ave
- Address2: Suite 1
- City: Lodi
- State: California
- Zip Code: 95240
- Phone Number: (209)224-5385
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):