| Sonali Shukla, MD | |
|
1007 Lincolnway, Laporte, IN 46350-3201 | |
| (219) 326-2403 | |
| (219) 326-2385 |
| Full Name | Sonali Shukla |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 32 Years |
| Location | 1007 Lincolnway, Laporte, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003862228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 01060482A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Associates Of Northwest Indiana Inc | 9537436589 | 3 |
| Michiana Gastroenterology, Inc | 2163529892 | 12 |
| Entity Name | Michiana Gastroenterology, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821094525 PECOS PAC ID: 2163529892 Enrollment ID: O20070515000183 |
| Entity Name | Pathology Associates Of Northwest Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134652340 PECOS PAC ID: 9537436589 Enrollment ID: O20170524000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonali Shukla, MD 1007 Lincolnway, Post Office Box 1539, Laporte, IN 46350-3201 Ph: (219) 326-2403 | Sonali Shukla, MD 1007 Lincolnway, Laporte, IN 46350-3201 Ph: (219) 326-2403 |
Bryan G Cunningham, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1007 Lincolnway, Laporte, IN 46350 Phone: 219-326-2403 Fax: 219-326-2385 |