Organization Active NPI

A.Y.Shukla MD PA

  • Neurology Physician
  • Richmond, TX
National Provider Identifier
1386726941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H5969 Issued in TX
Legal business name
A.Y.SHUKLA MD PA
Practice address
1601 Main St
Suite #201
Richmond, TX 77469-3247
Phone
(281) 341-1500
Fax
(281) 341-1505
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amitabh Y. Shukla, M.D.NPI 1841398708
Title
President
Phone
(281) 341-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H5969 TX Primary

Addresses

Primary practice location

1601 Main St
Suite #201
Richmond, TX 77469-3247

Mailing address

1601 Main St
Suite #201
Richmond, TX 77469-3247
Phone (281) 341-1500

Other identifiers 1

IdentifierTypeStateIssuer
0027ETOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1601 Main St
Ste 201
Richmond, TX 77469
Phone (281) 341-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386726941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "address_2": "SUITE #201",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693247",
            "telephone_number": "281-341-1500",
            "fax_number": "281-341-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "address_2": "SUITE #201",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693247",
            "telephone_number": "281-341-1500",
            "fax_number": "281-341-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.Y.SHUKLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "AMITABH",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-341-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H5969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0027ET",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.