Individual ProviderVani ShuklaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4801 Alberta Ave., El Paso, TX 79905(915) 215-5200(915) 215-4480PECOS EnrollmentBased on the most recent information from CMS, provider Vani Shukla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1235154980Provider TypeIndividualFull NameShukla, VaniCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/13/2006Last Updated3/7/2023Contact InformationPractice LocationPractice Address4801 Alberta Ave., El Paso, TX 79905Phone(915) 215-5200Fax(915) 215-8640Mailing LocationMailing Address440 Raynolds St, El Paso, TX 79905-1613Phone(915) 215-4480Fax(915) 215-5386Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseM3389TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseTEMPORARYTexasProvider IdentifiersIDDescriptionIssuerID8P0285DescriptionOtherIssuerBCBSTexas