Individual
PRATIK ROHIT SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
425 BRIGHTON ST, #303, BETHLEHEM, PA 18015-1273
(610) 868-1100
(610) 868-1111
Mailing address
95 HIGHLAND AVE, STE 130, BETHLEHEM, PA 18017-9483
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
OS010600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01910225
—
PA
Enumeration date
05/24/2006
Last updated
02/09/2018
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