Rajeev Shukla MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51690 Issued in CA

Legal business name

RAJEEV SHUKLA MD INC

Practice address

854 S. Fairmont Ave
Suite #1
Lodi, CA 95240-3971

Phone

(209) 242-5385

Fax

(209) 224-8132

NPI assigned

May 23, 2011

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajeev Shukla, MDNPI 1548289630

Title

Owner

Phone

(209) 224-5385

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Rajeev Shukla, MD

  • Internal Medicine Physician
  • Lodi, CA
  • NPI 1548289630
  Medicare reassignment NPD Authorized official
• Waleed Abdul Ibrahim, M.D.

  • Gastroenterology Physician
  • Modesto, CA
  • NPI 1407052244
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1851684930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S FAIRMONT AVE STE 135",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403971",
            "telephone_number": "209-224-5385",
            "fax_number": "202-224-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 S. FAIRMONT AVE",
            "address_2": "SUITE #1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403971",
            "telephone_number": "209-242-5385",
            "fax_number": "209-224-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJEEV SHUKLA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-224-5385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen B Nguyen DDS Inc (Bella Terra Dental)
• Kevin Earl Rabey, M.D.
• Nathaniel Rabang Rafanan, RN
• Raheem Corp
• Fareen Shabana Rahman, M.D.
• Rajvir Singh MD Inc
• Raleys
• Armando Gabriel Ramos, OTR/L
• Kaitlin Ramos, AMFT, APCC
• Tonika Rochelle Randle

• Internal Medicine Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.