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Individual

DR. PRATEEK SHUKLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, PULMONARY DEPARTMENT, WASHINGTON, DC 20010-2916
(202) 476-6399
Mailing address
1413 K ST SE, WASHINGTON, DC 20003-3235
(650) 696-0868

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
363439
ZZ
2080P0214X
Pediatric Pulmonology Physician
Primary
MTL002120
DC

Other

Enumeration date
05/12/2014
Last updated
07/08/2014
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