| | Physician Last Name: | Shukla |
| | Physician First Name: | Kishorekumar |
| | Physician Middle Name: | R |
| | Address: | 8730 Scroggs Road
Elkton, Ohio 44415 |
| | License Number: | 110052 |
| | License Type: | MD |
| | Year of Birth: |
1943
|
| | Effective Date: | 02/05/1999 |
| | Action Description for DOH Webpage: | License revocation and $10,000 fine |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge that the physician was convicted in United States District Court for the Southern District of New York of conspiracy to submit false claims to the Medicaid Program and Medicaid fraud.The physician's New York State medical license was previously summarily suspended on September 14, 1998. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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