| Rajeev Shukla MD Inc | |
|
854 S. Fairmont Ave Suite #1 Lodi CA 95240-3971 | |
| (209) 242-5385 | |
| (209) 224-8132 |
| Full Name | Rajeev Shukla MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 854 S. Fairmont Ave, Lodi, California |
| Authorized Official Name and Position | Rajeev Shukla (OWNER) |
| Authorized Official Contact | 2092245385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajeev Shukla MD Inc 845 S Fairmont Ave Ste 135 Lodi CA 95240-3971 Ph: (209) 224-5385 | Rajeev Shukla MD Inc 854 S. Fairmont Ave Suite #1 Lodi CA 95240-3971 Ph: (209) 242-5385 |
| NPI Number | 1851684930 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Medicare PECOS PAC ID | 8426234568 |
|---|---|
| Medicare Enrollment ID | O20110525000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851684930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 207R00000X | Internal Medicine | A51690 (California) | Primary |
| Provider Name | Rajeev Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548289630 PECOS PAC ID: 7911061718 Enrollment ID: I20090122000459 |
Lodi Memorial Community Clinic-alder Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659 |
Lodi Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990 |
James S. Hoff, M.D., a Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521 |
Cmc, Lodi Vine Family Care, Suite 105 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121 |
Fairmont Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001 |
Lodi Memorial Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659 |