Dinesh Shukla MD

NPI 1033102280 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1033102280
Gender Male
Enumeration Date 08/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
625 BELLE TERRE RD
SUITE 205
PORT JEFFERSON NY, 11777-2316, US
Phone (631) 331-0776
Fax (631) 473-4760
Business Location
625 BELLE TERRE RD
SUITE 205
PORT JEFFERSON NY, 11777-2316, US
Phone (631) 331-0776
Fax (631) 473-4760
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 141530
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According to our database, Dinesh Shukla MD NPI is 1033102280, taxonomy code is 2084N0400X and license number is 141530, license state is located at New York. Dinesh Shukla MD physically located at 625 Belle Terre Rd, Port Jefferson NY, 11777-2316. NPI Number Dinesh Shukla MD has the Individual type.

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1033102280 NPI number is provided on an as is basis without warranty of any kind. 1033102280 is maintained by the National Plan & Provider Enumeration System. The contents of Dinesh Shukla MD are for informational purposes only.