Neela Jayesh Shukla, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

05778R Issued in LA

Practice address

3 Store House LN
Suite B
Destrehan, LA 70047

Phone

(985) 764-6556

Fax

(985) 764-6526

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Clinic LLC

  • Pediatrics Physician
  • Metairie, LA
  • NPI 1225193501
  NPD (past)
• Childrens Clinic LLC

  • Pediatrics Physician
  • Destrehan, LA
  • NPI 1689739971
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1831279504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CYCAS",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656188",
            "telephone_number": "504-469-4867",
            "fax_number": "504-469-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STORE HOUSE LN",
            "address_2": "SUITE B",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "70047",
            "telephone_number": "985-764-6556",
            "fax_number": "985-764-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "NEELA",
        "middle_name": "JAYESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "05778R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1328511",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Schexnaydre, LPC, NCC
• Stacey Raziano Schexnaydre, P.D.
• Sarah Joy Schroeder, PHARM.D.
• Letrece D Scott, PHARMD
• Nicole K Scott, PHARM D
• Michelle B Simon
• Robert Nathan Smith, NP
• William James Smith, PT, DPT, OCS, CSCS
• Heather Stephens, MS, L-SLP, CCC-SLP
• Larry Joe Stiger, RPH

• Legal Medicine in Destrehan, LA
• Providers in Destrehan, LA by specialty
• Legal Medicine in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.