Individual
DR. PRATEEK SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3206
(774) 442-4668
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
000000
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
289332
MA
Other
Enumeration date
05/04/2015
Last updated
07/20/2021
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