Suchak, Shukla S.
Suchak, Shukla S. is an individual health care provider with primary practice located at Henry Ford Health System One Ford Place 2A -Occupational, Detroit MI 48202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Suchak, Shukla S. can be contacted via phone (313) 874-5429.Contact Information
Primary practice address
Henry Ford Health System One Ford Place 2A -Occupational
Detroit MI 48202
Phone: (313) 874-5429
Fax: (313) 874-6037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301051854 | Michigan |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 4301051854 | Michigan |
Profile Details
| NPI number | 1588732390 |
|---|---|
| LBN Legal business name | Suchak, Shukla S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588732390 | NPPES |
| Other | SS051854 | CHAMPUS-CHAMPUS | |
| Other | SS051854 | CHAMPUS-CHAMPUS |
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