Individual
DR. GAURAV SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4701 OGLETOWN STANTON RD STE 1110, NEWARK, DE 19713-2079
(302) 623-4800
Mailing address
4701 OGLETOWN STANTON RD STE 1109, NEWARK, DE 19713-2079
(302) 623-4800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C1-0012765
DE
2085R0001X
Radiation Oncology Physician
MD464808
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2013
Last updated
07/29/2019
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