Individual
DR. PRATIK A SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BERGEN ST # STREETC, NEWARK, NJ 07103
(973) 972-5188
Mailing address
30 BERGEN STREET, BUILDING 12 ROOM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT202262
PA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10336900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640930
—
NJ
Enumeration date
06/19/2012
Last updated
03/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us