Prashant Rohit Shukla (NPI# 1174509426, PAC ID# 6800089590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174509426 |
| PAC ID by PECOS | 6800089590 |
| Professional Enrollment ID | I20101027000194 |
| Full Name | Prashant Rohit Shukla |
| Organization Legal Name | PRIVIA CARE CENTER LLC |
| Address |
998 Hospitality Way Suite 102 Aberdeen MD 21001-1757 |
| Phone Number | 4102979500 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274801139 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210006 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 | 4102979500 | PRIVIA CARE CENTER LLC |
| 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 | PRIVIA MEDICAL GROUP,LLC | |
| 133 Defense Hwy, Annapolis, MD 21401-7015 | PRIVIA MEDICAL GROUP,LLC | |
| 301 Saint Paul St, Suite 409, Baltimore, MD 21202-2102 | 4106597041 | PRIVIA CARE CENTER LLC |
| Organization Legal Name | PRIVIA CARE CENTER LLC |
| Physicians | 132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy M Cao | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Lindsay S Gonzalez | Physician Assistant | Privia Care Center LLC | 7202 Poplar St, Annandale, VA 22003-3025 |
| Ira L Berger | Internal Medicine | Privia Care Center LLC | 4910 Massachusetts Ave Nw, Suite 114 Grady Dc Office, Washington, DC 20016-4384 |
| Karl A Spector | Internal Medicine | Privia Care Center LLC | 602 S Atwood Rd, Bel Air, MD 21014-4172 |
| Benjamin Y Lee | Internal Medicine | Privia Care Center LLC | 669 Revolution St, Havre De Grace, MD 21078-3319 |
| Adebowale Prest | Family Medicine | Privia Care Center LLC | 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 |
| Stanley Wisniewski | Family Medicine | Privia Care Center LLC | 8191 Jennifer Ln, Suite 150, Owings, MD 20736-3195 |
| Richard A Bernstein | Internal Medicine | Privia Care Center LLC | 301 Saint Paul St, Suite 409, Baltimore, MD 21202-2102 |
| Kathleen W Stern | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Virginia C Wiley | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Street Address |
998 HOSPITALITY WAY SUITE 102 |
| City | ABERDEEN |
| State | MD |
| Zip | 21001-1757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew A Speicher | Ophthalmology | The Retina Care Center | 998 Hospitality Way, Suite 201, Aberdeen, MD 21001-1760 |
| Eric P Suan | Ophthalmology | The Retina Care Center | 998 Hospitality Way, Suite 201, Aberdeen, MD 21001-1760 |
| Mark S Kordonski | Chiropractic | 998 Hospitality Way, Suite 202, Aberdeen, MD 21001-1760 | |
| Stephanie L Farmer | Nurse Practitioner | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Kortni P Sorbello | Nurse Practitioner | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Mara Elizabeth Muehlenkamp | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 998 Hospitality Way, Suite 101, Aberdeen, MD 21001-1762 |
| Sean M Curtin | Sports Medicine | Medstar Medical Group II LLC | 998 Hospitality Way, 102 Medstar Union Memorial Orthopaedics and Sports Med, Aberdeen, MD 21001-1757 |
| Timothy D Polk | Ophthalmology | The Retina Care Center | 998 Hospitality Way, Suite 201, Aberdeen, MD 21001-1760 |
| Karen V Johnson | Nurse Practitioner | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Nicole Marie Compher | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 998 Hospitality Way, Suite 101, Aberdeen, MD 21001-1762 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Ochle | Nurse Practitioner | Pueblo Community Health Center Inc. | 1302 E, Pueblo, CO 21001 |
| Valerie Reed | Optometry | Myeyedr Optometry of Maryland LLC | 951 F Beards Hill Rd, Aberdeen, MD 21001-1734 |
| Robin L Vance Ishak | Optometry | Myeyedr Optometry of Maryland LLC | 951 F Beards Hill Rd, Aberdeen, MD 21001-1734 |
| Barbara J Locke | Nurse Practitioner | Bayside Internal Medicine LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Robert Germeroth | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 998 Hospitality Way, Suite 101, Aberdeen, MD 21001-1762 |
| Heather A Harris | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 998 Hospitality Way, Suite 101, Aberdeen, MD 21001-1762 |
| Sulaiman A Bham | Obstetrics/gynecology | 326 N Philadelphia Blvd, Aberdeen, MD 21001-1910 | |
| Kerri Mcdonald | Physician Assistant | Andrew Mrowiec Md LLC | 9 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 |
| Andrew Mrowiec | Family Medicine | Andrew Mrowiec Md LLC | 9 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 |
| David C Santamore | Anesthesiology | 1111 Beards Hill Rd, Suite 700, Aberdeen, MD 21001-2275 | |
| Find all physicians in zip 21001 | |||
| City | ABERDEEN |
| Zip Code | 21001 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ABERDEEN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Prashant Rohit Shukla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.