Individual
DR. UTKARSH CHRIS SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
Mailing address
480 MAIN ST APT 426, MALDEN, MA 02148-5142
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD2023-0189
NM
Other
Enumeration date
04/09/2018
Last updated
08/23/2023
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