Individual
DR. MRINAL SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
(601) 815-2005
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
080579
GA
2086S0129X
Vascular Surgery Physician
Primary
31345
MS
Other
Enumeration date
04/16/2011
Last updated
06/03/2024
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