Doctor Name: | MRUGANK SHUKLA |
NPI Number: | 1013289263 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MPH |
License Number: | 268541 |
Business Practice Address: | 150 E. Sunrise Hwy Lindenhurst, NY - 11757 |
Business Phone Number: | 5167984242 |
Business Fax Number: | |
Mailing Address: | 4272 Kissena Blvd, FLUSHING |
State: | NY |
Postal Code: | 113553213 |
Phone Number: | 7189020257 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 268541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |