Individual
RAJESH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 WESTMOUNT DR, LIVINGSTON, NJ 07039-4230
(732) 545-3080
Mailing address
4 PATRIOT XING, ROCKAWAY, NJ 07866-4813
(973) 337-9669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00603538
RAILROAD MEDICARE
NJ
Enumeration date
08/12/2005
Last updated
01/09/2021
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