Individual
DR. NEELA JAYESH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 STORE HOUSE LN, SUITE B, DESTREHAN, LA 70047
(985) 764-6556
(985) 764-6526
Mailing address
31 CYCAS, KENNER, LA 70065-6188
(504) 469-4867
(504) 469-4867
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
05778R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328511
—
LA
Enumeration date
10/17/2006
Last updated
06/14/2011
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