Individual
MRUGANK SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
150 E. SUNRISE HWY, LINDENHURST, NY 11757
(516) 798-4242
Mailing address
4272 KISSENA BLVD, FLUSHING, NY 11355-3213
(718) 902-0257
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
268541
NY
Other
Enumeration date
02/03/2012
Last updated
12/19/2013
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