| Sanjeev N Shukla, MD, FAAP | |
|
10101 South 27th Street, 3rd Floor - Mob, Franklin, WI 53132-7209 | |
| (414) 325-4920 | |
| (414) 325-4921 |
| Full Name | Sanjeev N Shukla |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 10101 South 27th Street, Franklin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437265394 | NPI | - | NPPES |
| 31750200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 32516 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjeev N Shukla, MD, FAAP 10101 South 27th Street, 3rd Floor - Mob, Franklin, WI 53132-7209 Ph: (414) 325-4920 | Sanjeev N Shukla, MD, FAAP 10101 South 27th Street, 3rd Floor - Mob, Franklin, WI 53132-7209 Ph: (414) 325-4920 |
Dr. Gary Duane Nordyke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10500 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9261 Fax: 414-529-9278 | |
Dr. Kimberly Anne Cronsell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 | |
Michael S Cianciolo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9200 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9200 | |
Dr. Angela L Baker-franckowiak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-228-4800 Fax: 414-433-9007 | |
Dr. Heather A Underkofler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 | |
Stacey Mulry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 |