| Ruchi Shukla, | |
|
2005 Thonotosassa Rd Ste B, Plant City, FL 33563-2972 | |
| (813) 752-3555 | |
| Not Available |
| Full Name | Ruchi Shukla |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2005 Thonotosassa Rd Ste B, Plant City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043710403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN23941 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Suncoast Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruchi Shukla, 2005 Thonotosassa Rd Ste B, Plant City, FL 33563-2972 Ph: (813) 752-3555 | Ruchi Shukla, 2005 Thonotosassa Rd Ste B, Plant City, FL 33563-2972 Ph: (813) 752-3555 |
Ramon Ortiz-roldan, Dentist Medicare: Medicare Enrolled Practice Location: 2803 James L Redman Pkwy, Suite K, Plant City, FL 33566 Phone: 813-662-9340 |
Dr. Kelley Lynn Borders, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1805 W Reynolds St, Plant City, FL 33563 Phone: 813-754-2605 Fax: 813-752-7436 |
Matthew Y Chan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 W Alexander St, Plant City, FL 33563 Phone: 813-708-6732 Fax: 813-708-6726 |
Nicole Ann Power, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1912 W Reynolds St, Plant City, FL 33563 Phone: 813-567-7001 |
Dr. Michael S Mathews, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Thonotosassa Rd Ste A, Plant City, FL 33563 Phone: 813-754-3794 Fax: 813-754-1677 |
Austin James Smith, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Thonotosassa Rd Ste B, Plant City, FL 33563 Phone: 138-752-3555 |
Hamza Kattih, DMD Dentist Medicare: Medicare Enrolled Practice Location: 111 W Alexander St, Plant City, FL 33563 Phone: 813-708-6732 Fax: 813-708-6726 |