Individual
DR. KUSHAL SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-6414
(908) 598-2337
Mailing address
1213 FRANCYNE WAY, UNION, NJ 07083-5818
(973) 597-8425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11245100
NJ
Other
Enumeration date
04/02/2018
Last updated
10/10/2025
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