Individual
DR. HARI KRISHNA SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42-72 KISSENA BOULEVARD, FLUSHING, NY 11355
(718) 961-4000
(718) 445-5658
Mailing address
42-72 KISSENA BOULEVARD, FLUSHING, NY 11355
(718) 961-4000
(718) 359-6677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32137
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
157037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895923
—
NY
Enumeration date
02/23/2006
Last updated
04/05/2012
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