Provider Demographics
NPI:1134018625
Name:SHUKLA, KRUTARTH JAY (MD)
Entity type:Individual
Prefix:
First Name:KRUTARTH
Middle Name:JAY
Last Name:SHUKLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 SW 60TH STREET RD FL 34474
Mailing Address - Street 2:APARTMENT NUMBER 1806
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5793
Mailing Address - Country:US
Mailing Address - Phone:407-420-3796
Mailing Address - Fax:
Practice Address - Street 1:1431 SW 1ST AVE # BITZER7
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6500
Practice Address - Country:US
Practice Address - Phone:352-401-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program